Age as a predictor of rescue opioid administration immediately after the emergence of general anesthesia

Journal of Clinical Anesthesia
Karim LadhaKaren C Nanji

Abstract

While previous studies have shown that elderly patients require lower dosages of opioids, the literature suggests that pain is undertreated in the geriatric population, which may lead to postoperative pain and high rescue analgesia requirements. The purpose of this study is to determine whether elderly patients undergoing hip and knee arthroplasty require higher levels of postoperative rescue opioids than their younger counterparts early after emergence from anesthesia. Using a nonconcurrent retrospective cohort study design, patients who underwent hip or knee arthroplasty under general anesthesia at a tertiary academic hospital from 2007 to 2012 were identified. Demographic information and data regarding patients' anesthetic care were obtained from the institution's anesthesia information management system. To assess the presence of pain after the emergence of anesthesia, we used, as a proxy, opioid administration by the anesthesia provider after leaving the operating room and before the end of anesthesia care. A total of 2731 patients met inclusion criteria, of which 487 (17.8%) received rescue opioids. Patients older than 80 years were less likely to receive opioids after leaving the operating room (odds ratio, 0.57; 95% con...Continue Reading

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Citations

Jul 6, 2016·Frontiers in Aging Neuroscience·Milica ProstranNataša Cerovac
Feb 9, 2017·The Clinical Journal of Pain·Chrysanthi BatistakiGeorgia Kostopanagiotou

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