Quid novi in the eldery patient’s anesthesia

Background Today the availability of new local anesthetics and the use of analgesics, allow the modulation of the analgesia, maintaining a state of consciousness. An answer to the needs of patients >75 years undergoing surgery is the technique Monitored Anesthesia Care (MAC), defined “the middle land” (Figure 1). MAC allows: the modulation of the level of analgesia at different stages of surgery due to the availability of analgesic action, but with rapid onset-time the additional analgesia using local anesthetics with prolonged effect without the use of noradrenaline, dangerous for elderly patients the consciousness and cooperation of the patient (Table 1).