Abstract

VARGAS-SILVA, Juan Felipe et al. Postoperative pain management in the elderly. Literature review. Rev. colomb. anestesiol. [online]. 2023, vol.51, n.3, 70.  Epub Sep 03, 2023. ISSN 0120-3347.  https://doi.org/10.5554/22562087.e1073.

Timely post-operative pain management in elderly patients is critically important. Given their physiological changes and comorbidities, management in this group of patients is different from the rest of the population. Knowledge of potentially inappropriate medications (Beers criteria) is relevant because of the presence of comorbidities in this population. Although acetaminophen continues to be safe, non-steroidal anti-inflammatory agents produce several adverse effects which need to be considered before they are used. On the other hand, opioids continue to be one of the pillars in analgesia, with due consideration of their adverse affects and interactions, and the need for dose adjustments. Adequate postoperative pain management prevents adverse effects and the risk of developing chronic pain.

Keywords : Aged; Acute pain; Pain, postoperative; Chronic pain; Analgesics; Renal insufficiency, chronic; Heart failure; Anesthesiology.

        · abstract in Spanish     · text in English | Spanish     · English ( pdf ) | Spanish ( pdf )