Anaesthesia and the elderly

Anaesthesia and the Elderly
1. Physiological changes with age
2. Altered pharmacological response
3. Erosion of physiological reserve
4. Frequent co-morbidities
5. Positioning difficulties
6. Communication difficulties (eyesight, hearing, CVAs)
7. Mental clarity, memory loss
8. Importance of social circumstances
9. Modifications necessary when anaesthetising the elderly
10. Special efforts to communicate clearly (N.B. deafness and blindness)
11. Problems of consent in mental infirmity
12. Recognising the limitations of therapy
13. Ethics of ‘do not resuscitate’ orders

CEACCP 2001: DECEMBER
Chris Dodds and David Murray
Pre-operative assessment of the elderly

CEACCP 2004: DECEMBER
David Murray and Chris Dodds
Perioperative care of the elderly

CEACCP 2006: FEBRUARY
Daniel P Fines and Andrew M Severn
Anaesthesia and cognitive disturbance in the elderly

Matt J Simpson MBChB FRCA
Consultant Anaesthetist at St. James’s University Hospital.
Lead anaesthetist in Obstetric anaesthesia and advanced vascular access. Chairs the Clinical Information and Outcomes Group. He is an Innovation champion for West Yorkshire and Humber and inventor of a new regional anaesthesia delivery system as well as having interests in thoracic and ophthalmic anaesthesia. Recently taken Leeds Crammer to Hong Kong to assist the Society of Anaesthetists of Hong Kong with exam training.

Philip J Antill MBChB (Hons) BSc (Hons) MRCP FRCA FFICM

Consultant in Anaesthesia and Intensive Care Medicine. Experienced ATLS and ALS instructor, with additional faculty roles in trauma and intensive care simulation. He has previously received the Yorkshire Society of Anaesthetists Critical Care ODN Registrar’s Prize and the Final Examination Chair’s Commendation for overall performance in the Final FRCA.

Rebecca K. Lathey MBChB FRCA

Dual Anaesthesia and Intensive Care Medicine trainee heavily involved in undergraduate teaching programmes, national research networks, multicentre research and recent Royal College National Audit Project applications. Guest speaker at RCoA events and holds a life citizenship award from Leeds for contributions towards health and wellbeing.

Michael Carrick MBChB FRCA

Consultant Anaesthetist in Leeds Teaching Hospitals Trust, specialising in thoracic and HPB anaesthesia with additional interests in advanced vascular access. Organised regional anaesthetic registrar teaching for Yorkshire and runs a training forum.
Visiting Faculty
John P Adams MA MBChB MRCP FRCA FFICM

John Adams is a Consultant Anaesthetist and Associate Medical Director at the Leeds Teaching Hospitals NHS Trust. He has an interest in Neuroanaesthesia and Intensive Care having completed an assistant Professorship at the Oregon Health and Science University, Portland USA. He was the principle organiser of the West Yorkshire and Humberside Final Fellowship Preparation (FFP) course and is now an examiner for the Royal College of Anaesthetists. John has a Master’s Degree in Healthcare Law and Ethics from the University of Manchester and he worked as a Medicolegal Adviser to the Medical Protection Society for over three years.

Andrew Lindley FRCA MMedSci FFICM
Consultant Anaesthetist in Neuroanaesthesia and Regional Anaesthesia. Completed an Assistant Professorship at Harbor View Medical Centre, Seattle. Experienced instructor in medical education. Andy is now a Royal College examiner for the primary component of the FRCA.