#JustReleased: Consensus guidelines for peri-operative care
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Ageing populations have greater incidences of dementia. People with dementia present for emergency and, increasingly, elective surgery, but are poorly served by the lack of available guidance on their peri-operative management, particularly relating to pharmacological, medico-legal, environmental and attitudinal considerations.

In common with other Association of Anaesthetists guidelines, this guideline was developed by a Working Party consensus review of current evidence to produce a concise document designed to help peri-operative care for people with dementia and mild cognitive impairment. The guidance document has been published recently in the journal Anaesthesia.

The recommendations are:-

1 People with cognitive impairment should receive the same standards of, and access to, healthcare as people without cognitive impairment.

2. Pre-operative assessment processes should identify people with cognitive impairment so that their management and follow-up can be tailored to their needs

3. Pre-operatively, the risk of peri-operative cognitive changes should be explained to people and their relatives

4. Rigorous assessment and management of cognitive impairment should apply equally to people requiring elective or emergency surgery

5. Carers and relatives should be involved appropriately in all stages of the peri-operative process

6. Carers or relatives should be invited to accompany a person with cognitive impairment into the operating department before and after surgery

Note: This is a consensus document produced by expert members of a Working Party established by the Association of Anaesthetists of Great Britain and Ireland. It has been seen and approved by the Board of Directors of the Association of Anaesthetists. It has been endorsed by the British Geriatrics Society, the Royal College of Anaesthetists, the Age Anaesthesia Society and the Royal College of Nursing.

Read in detail here: https://onlinelibrary.wiley.com/doi/full/10.1111/anae.14530