TY - CHAP M1 - Book, Section TI - Perioperative Regional Anesthesia in the Elderly A1 - Dominguez, Jennifer E. A1 - Halaszynski, Thomas M. A2 - Hadzic, Admir PY - 2017 T2 - Hadzic's Textbook of Regional Anesthesia and Acute Pain Management, 2e AB - Healthcare providers have become increasingly focused on providing effective management of acute perioperative pain in all patients, but especially older adults, as the size of this patient population has steadily increased in recent years.1 Advances in anesthetic and surgical techniques, an improved understanding of the pathophysiology of pain, the development of new opioid and nonopioid analgesic drugs, the incorporation of regional techniques that reduce or eliminate reliance on traditional opioid analgesics, and novel methods of drug delivery have all led to greater numbers of older patients undergoing major surgery.2,3 An increased prevalence of chronic medical conditions among older individuals may also lead to higher degrees of acute and chronic pain (including acute-on-chronic pain). For instance, acute exacerbations of arthritis, osteoporotic fractures of the spine, cancer pain, and pain from acute medical conditions (eg, ischemic heart disease, herpes zoster, peripheral vascular disease) must be properly addressed in order to maximize multimodal perioperative pain management.4 In addition, older individuals are adopting more active lifestyles that can predispose them to trauma and orthopedic injuries that require surgery. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1141736183 ER -