Today's surgical nurse
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Elderly cataract patients frequently have comorbid multisystem disease. Local or regional anesthesia is provided to reduce complications of retrobulbar infiltration. Performing painless eye blocks without sedation is probably the safest route.
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Older patients are at a higher risk for postoperative delirium. Symptoms of delirium are flucuating sensorium, altered perception and attention levels, and increased confusion. The incidence of delirium after surgery does not correlate with a specific anesthetic agent or the route of administration.