multidisciplinary group reviewed the perioperative factors affecting
the elderly patient. In the preoperative phase, evidence suggests that
there is a functional impact of Ca++ blockers on mental
function in the elderly, and they should be avoided when possible.
Preoperative teaching of patients and families should emphasize that
the treatment of pain interferes with function and recovery of the
patient postoperatively. The impact of underlying disease or treatment
on the reserve capacity of organs should be considered. With
postoperative delirium rates as high as 50%, it is important to
identify an alternate decision maker preoperatively. No laboratory
tests, radiographs, or ECGs should be ordered based on age alone.