Sackman J E
Surgical Research and Development, ETHICON ENDO-SURGERY, Inc., Cincinnati, Ohio, USA.
Vet Clin North Am Small Anim Pract. 1997 Nov;27(6):1487-504. doi: 10.1016/s0195-5616(97)50135-5.
The management of pain in geriatric patients is a critical part of good veterinary care. The older patient poses unique issues in the selection of appropriate analgesic drugs due to altered drug absorption, metabolism and the frequent occurrence of underlying disease. Narcotics and NSAIDs are important analgesics that can be safely administered in geriatric patients provided that dosing amount and frequency are adjusted. Alternative analgesic techniques, such as nerve blocks, spinal analgesia and transcutaneous patches, offer a particularly useful source of analgesia in compromised geriatric patients.
老年患者疼痛的管理是优质兽医护理的关键部分。由于药物吸收、代谢的改变以及基础疾病的频繁发生,老年患者在选择合适的镇痛药时存在独特的问题。只要调整给药剂量和频率,麻醉药和非甾体抗炎药是可以在老年患者中安全使用的重要镇痛药。替代镇痛技术,如神经阻滞、脊髓镇痛和经皮贴片,为身体状况不佳的老年患者提供了一种特别有用的镇痛来源。