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ASA NEWSLETTER
 
 
October 2001
Volume 65
Number 10
 
WHAT'S NEW IN...

…Geriatric Anesthesia: Society for the Advancement of Geriatric Anesthesia Is New ‘Kid’ on the Block

G. Alec Rooke, M.D., Ph.D., President
Society for the Advancement of Geriatric Anesthesia


At the ASA Annual Meeting last October in San Francisco, approximately 20 ASA members met to form a society dedicated to improving the perioperative care of the elderly patient. I am happy to report that the Society for the Advancement of Geriatric Anesthesia (SAGA) is now a functioning society. Between the meeting and subsequent discussions, a number of formative details relating to the new society have been resolved.

The goals of the society, as delineated in the bylaws, are to enhance and improve all aspects of the perioperative care of geriatric patients, to foster the education of both residents in training and practitioners of anesthesiology, and to encourage research on the care of the elderly patient coming to surgery. Although at present the emphasis is on the anesthetic care of the geriatric patient, it is recognized that successful perioperative outcome requires appropriately tailored care from all the participating caregivers. Medical professionals from any field are therefore encouraged to join SAGA.

Officers were elected in San Francisco with G. Alec Rooke, M.D., Ph.D., Shoreline, Washington, chosen as President, Jeffrey H. Silverstein, M.D., Ph.D., West Nyack, New Jersey, President-Elect; Terri G. Monk, M.D., Gainesville, Florida, Secretary; and Sheila R. Barnett, M.D., Newton, Massachusetts, Treasurer. Terms are for two years. Six at-large members of the board will eventually be elected to staggered two-year terms with the first three to be chosen at the 2001 Annual Meeting in New Orleans.

In addition to meeting on an annual basis , SAGA also is organizing educational programs at the annual meetings of other societies. This strategy is based on the desire to reach many more anesthesiologists than the current membership of SAGA. The members of most anesthesiology societies provide care for elderly patients, and that trend will only continue due to U.S. population demographics. Forming affiliations with other societies should enhance SAGA’s educational mission as well as provide useful programs for the other societies. An additional goal is to publicize SAGA in the anesthesiology community in the hope of increasing membership.

Educational Programs
To date, SAGA has approached several societies about annual meeting affiliation. A breakfast panel will be sponsored at the New York State Society of Anesthesiologists Postgraduate Assembly (PGA) meeting. The panel will be held Friday, December 7, 2001, from 8:30 a.m. to 11:30 a.m. Bruce Vladeck, M.D., Director of the Institute for Medical Practice at Mount Sinai Hospital, New York, will speak on Medicare policy and perioperative outcomes. Elizabeth Clark, M.D., a geriatrician at Mount Sinai School of Medicine, will speak on perioperative care of the elderly. Dr. Rooke will speak on the geriatric cardiovascular system. Dr. Silverstein, who organized the panel, will discuss the effects of anesthesia on postoperative brain function. On the afternoon of December 10 at the PGA, there will be another panel on geriatric anesthesia. Although not sponsored by SAGA, Dr. Monk has organized a panel on the special needs of the elderly surgical patient. Speakers include Dr. Silverstein, who will present the global picture on the perioperative care of the elderly; Howard S. Smith, M.D., Boston, Massachusetts, who will discuss perioperative pain control; Diane E. Meier, M.D., a geriatrician and ethicist at Mount Sinai who will discuss palliative care; and Dr. Monk, who will discuss postoperative cognitive dysfunction.

The Society for Ambulatory Anesthesia (SAMBA) also has graciously offered SAGA the opportunity to provide a panel at the SAMBA Annual Meeting in May 2002. Dr. Monk will moderate the panel with talks tentatively planned on the outpatient anesthesia implications of the aging process (Stan Muravchick, M.D., Ph.D.), preoperative assessment of the geriatric outpatient (Lee A. Fleisher, M.D.) and the use of peripheral nerve blocks in geriatric outpatients (F. Kayser Enneking, M.D.). SAGA has also submitted a proposal for the 2003 SAMBA meeting.

Annual Meeting
The next annual meeting of SAGA will occur in conjunction with the ASA Annual Meeting this fall in New Orleans. The meeting will take place at 7 p.m. Friday, October 12, 2001, in La Galeries 2 and 3 at the Marriott Hotel. In addition to a business meeting where the progress of the society will be discussed and at-large board members will be elected, we will have an invited speaker. Jeffrey W. Dwyer, Ph.D., will speak on “The Future Is Aging: Demographic, Policy and Clinical Implications.” Dr. Dwyer is Professor and Director of the Division of Aging in the Department of Health Policy and Epidemiology at the University of Florida-Gainesville. His areas of expertise include long-term care, health services research and the health care needs and problems of older, disadvantaged populations. There will be no charge for attending the meeting.

Future Plans for Web Site
At present, there is no SAGA Web site; however, one is in the planning stages. Anyone interested in learning more about SAGA, joining the Society or attending the October 12 meeting is encouraged to contact me at <rooke@u.washington.edu> or by mail at S-112-ANES, VAPSHCS, 1660 S. Columbian Way, Seattle, WA 98108.


  G. Alec Rooke, M.D., Ph.D., is Professor of Anesthesiology, University of Washington and the Veterans Affairs Puget Sound Health Care System, Seattle, Washington.


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