Geriatric Surgery

Geriatric surgery requires frailty assessment and tailored care with growing recognition of older surgical populations. The session covers preoperative frailty assessment (Hopkins, Edmonton, CFS Clinical Frailty Scale), comprehensive geriatric assessment (CGA), geriatric ERAS protocols, anaesthesia in older adults including delirium prevention, postoperative delirium prevention (ENGAGES-Canada, dexmedetomidine), and shared decision-making. Discussion addresses POSH (Perioperative Optimization of Senior Health) implementation, conventional vs geriatric ERAS, geriatricians in surgical clinics, surgical decision-making in advanced frailty, ageism in surgical care, and predictive scores for geriatric surgical outcomes.