Geriatric Surgery and Perioperative Care

Gabriella Bettelli is past-Director of the Geriatric Surgical Area and Anesthesia Unit at the INRCA (Italian National Research Centre on Aging, Ancona Italy), specialist in anesthesia, cardiology, and geriatrics (2nd Level University Master). She founded and currently coordinates an international 2nd Level University Master in Perioperative Geriatric Medicine, held in co-partnership by the San Marino University and the Catholic University of Rome. She edited the book Perioperative Care of the Elderly: clinical and organizational aspects (Cambridge University Press, 2017), co-edited various books on safety in anesthesia, and published more than 120 papers, most of them indexed. She is a member of the ESAIC Task Force for Postoperative Delirium GL, currently under updating, and reviewer for Anesthesia & Analgesia, Journal of Gerontology, Journal of Frailty and Aging and Saudi Journal of Anesthesia. Riccardo A. Audisio, MD, PhD (Hon), FRCS, is past-President of SIOG (International Society of Geriatric Oncology), BASO (British Association of Surgical Oncology) and ESSO (European Society of Surgical Oncology). He served as an advisor to the Department of Health, UK and to the All-Party Parliamentary Group on Breast Cancer in Older Women. Professor Audisio sat on the Board of Directors of ECCO (European Cancer Organization). He is past-Chair of the Education & Training Committee of ESSO. Professor Audisio chairs the Surgical Oncology track at the Global Health Catalyst, Harvard Medical School. He has edited 10 books on the management of Elderly Cancer Patients (Springer), co-edited the ESMO Handbook of Cancer in the Senior Patient, and authored over 30 peer reviewed papers on the topic. His clinical research focuses on Breast Cancer, Geriatric Oncology, Education/Certification in Surgical Oncology and the optimization of Surgical Oncology in L/MICs.

1. Epidemiological and structural overview of the current situation
2. Aging, patho-physiological changes and their impact on anesthesia and surgery
3. Preoperative evaluation and optimization: a team-based task
4. Decision-making about surgery and plan for hospital admission
5. Patient allocation and preparation to surgery
6. Surgical procedures
7. Anesthesia techniques, intraoperative management, and early postoperative recovery
8. Methodological aspects team-based approach
9. General principles for optimal postoperative recovery
10. Postoperative ICU care
11. Postoperative course at the ward
12. Management of hospital discharge and late postoperative recovery
13. Ethical principles: professional duties and patients’ rights
14. Models of care: purposes, internal organization and hospital layout
15. Hospital design for geriatric surgery
16. Toward a golden “Silver Surgery”