What are the special considerations of opioid use for postoperative pain control when using in geriatric patients?
Elderly patients suffer from conditions such as arthritis or cancer that render them more likely to undergo surgery. Their pain is often undertreated, and elderly individuals may be more vulnerable to the detrimental effects of such undertreatment. The physical, social, emotional, and cognitive changes associated with aging have an impact on perioperative pain management. These patients may have different attitudes than younger adult patients in expressing pain and seeking appropriate therapy. Altered physiology changes the way analgesic drugs and local anesthetics are distributed and metabolized, and frequently requires dose alterations.