Postoperative neurocognitive disorders
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Postoperative neurocognitive disorders. / Olotu, Cynthia.
In: CURR OPIN ANESTHESIO, Vol. 33, No. 1, 02.2020, p. 101-108.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Postoperative neurocognitive disorders
AU - Olotu, Cynthia
PY - 2020/2
Y1 - 2020/2
N2 - PURPOSE OF REVIEW: Alterations in cognitive functions are common in the perioperative course. Although often unnoticed by physicians, these alterations might have distinct long-term consequences for the patient with regard to everyday functioning, self-dependency, and quality of life. In recent years, however, perioperative cognition has gained increased interest, both by clinicians and scientists, and knowledge of the preventive measures of postoperative cognitive decline has become mandatory for anesthetists and surgeons.RECENT FINDINGS: This review offers a brief overview of the current state of knowledge concerning perioperative changes in cognition, including its pathophysiology and prevention strategies.SUMMARY: Postoperative neurocognitive disorders are frequent complications, especially in elderly patients, with postoperative delirium being its most pronounced and acute postoperative form, predisposing the patient for long-term cognitive impairment. The incidence of postoperative cognitive decline can be reduced by implementing preventive measures during perioperative patient care as recommended by national and international guidelines.
AB - PURPOSE OF REVIEW: Alterations in cognitive functions are common in the perioperative course. Although often unnoticed by physicians, these alterations might have distinct long-term consequences for the patient with regard to everyday functioning, self-dependency, and quality of life. In recent years, however, perioperative cognition has gained increased interest, both by clinicians and scientists, and knowledge of the preventive measures of postoperative cognitive decline has become mandatory for anesthetists and surgeons.RECENT FINDINGS: This review offers a brief overview of the current state of knowledge concerning perioperative changes in cognition, including its pathophysiology and prevention strategies.SUMMARY: Postoperative neurocognitive disorders are frequent complications, especially in elderly patients, with postoperative delirium being its most pronounced and acute postoperative form, predisposing the patient for long-term cognitive impairment. The incidence of postoperative cognitive decline can be reduced by implementing preventive measures during perioperative patient care as recommended by national and international guidelines.
KW - Aged
KW - Anesthesia/adverse effects
KW - Cognition Disorders/etiology
KW - Delirium
KW - Humans
KW - Postoperative Complications
KW - Postoperative Period
KW - Quality of Life
U2 - 10.1097/ACO.0000000000000812
DO - 10.1097/ACO.0000000000000812
M3 - SCORING: Review article
C2 - 31764008
VL - 33
SP - 101
EP - 108
JO - CURR OPIN ANESTHESIO
JF - CURR OPIN ANESTHESIO
SN - 0952-7907
IS - 1
ER -