Clinical practice guidelines for perioperative monitoring in elderly patients (2026 edition)

Standardizing perioperative monitoring practices for elderly patients hold significant importance for systematic surgical risk management, optimizing healthcare resource allocation, and implementing the "Healthy Aging" strategy. Accordingly, the Geriatric Anesthesia and Perioperative Management Group of the Chinese Society of Anesthesiology, in collaboration with the National Alliance of Geriatric Anesthesia has developed the "Clinical practice guidelines for perioperative monitoring in elderly patients (2026 edition)" based on China's clinical realities and available evidence. The guideline covers core perioperative monitoring domains, including basic vital signs and cerebral, cardiac, pulmonary, coagulation, renal, and hepatic functions, resulting in 26 recommendations. It aims to provide standardized perioperative monitoring guidance for elderly surgical patients, transforming advanced age as an independent risk factor into quantifiable and intervenable clinical pathways.

规范老年患者围手术期监测，对系统管控手术风险、优化医疗资源配置及践行“健康老龄化”战略具有重要意义。为此，中华医学会麻醉学分会老年人麻醉与围术期管理学组联合国家老年麻醉联盟，基于我国临床现状与循证证据制订了《老年患者围手术期监测临床实践指南（2026版）》。本指南涵盖老年患者围手术期基本生命体征与脑、心、肺、凝血、肾及肝功能等围手术期核心监测领域，形成26条推荐意见，旨在为老年患者提供围手术期监测的规范化指导，将高龄这一独立风险因素转化为可量化、可干预的临床路径。.