Anesthesia Updates

Optimizing Perioperative Care for Older Adults: Key Insights from the 2025 ASA Practice Advisory


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n this episode of the NYSORA Podcast: Updates in Anesthesiology, Dr. Hadzic unpacks the 2025 ASA Practice Advisory on Perioperative Care of Older Adults, published in Anesthesiology and led by Dr. Frederick Sieber from Johns Hopkins. With the aging population growing rapidly, anesthesiologists must be prepared to manage frailty, cognitive impairment, and postoperative delirium in older surgical patients.

We cover practical recommendations for preoperative assessment, intraoperative anesthetic choices, and postoperative strategies to optimize recovery and preserve independence. Key highlights include:
✅ The importance of screening for frailty and cognitive impairment
✅ Neuraxial vs. general anesthesia—what does the latest evidence say?
✅ Dexmedetomidine for delirium prevention: promising or problematic?
✅ Medications to avoid in older adults
✅ The future of prehabilitation in perioperative medicine

Join us as we break down the latest evidence and how to apply it in clinical practice. Don’t miss this essential update for anesthesiologists, surgeons, and perioperative care providers!


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Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

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