2018 AANS Annual Scientific Meeting-Neurosurgery in the Geriatric Patient

Video Transcription

Video Summary

In this video, Gentle Sentil, a physical therapist and administrative chief clinical neurosurgical physician assistant at Duke University, discusses the challenges of operating on geriatric patients. He highlights the increasing number of older patients seeking surgical options, the impact of aging on organ function, and the importance of considering a patient's functional status, cognition, and nutritional status before surgery. Sentil emphasizes the need for early reorientation protocols, adequate pain control, and management of comorbidities to optimize recovery in older patients. He also discusses the role of the Perioperative Optimization of Senior Health (POSH) program at Duke in improving outcomes for geriatric patients. The video concludes by highlighting the importance of evaluating patient frailty, considering the patient's overall health, and taking steps to mitigate post-operative complications. The information in the video is based on recent research and clinical experience.

Asset Caption

Senthilkumar Radhakrishnan

Keywords

geriatric patients

aging

organ function

functional status

cognition

nutritional status

surgery

recovery

post-operative complications