Balance risks and benefits when selecting anaesthetic and perioperative care options in elderly surgical outpatients

摘要

Abstract Careful consideration of the relative risks and benefits of anaesthetic and analgesic options are required in elderly patients undergoing elective ambulatory surgery. In general, anaesthetic doses are reduced in the elderly because of altered pharmacokinetic/pharmacodynamic drug profiles due to age-related physiological changes. Patients at risk of postoperative nausea and vomiting require emetic prophylaxis. Postoperative pain is best targeted with a multimodal opioid-sparing regimen, with opioids only for rescue analgesia.