Abstract
It is often discovered beyond 30 days postoperatively; family and co-workers notice a lack of performance in everyday common tasks that the patient was able to do preoperatively. This decrease in cognitive ability is termed postoperative cognitive dysfunction (POCD). This is a diagnosis of exclusion. There is a lack of uniform criteria and guidelines for assessing, diagnosing, and treatment. The current literature is reviewed including animal studies along with the current science and theories of this condition.
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References
Tsai TL, et al. An update on postoperative cognitive dysfunction. Adv Anesth. 2010;28(1):269–84.
Rundshagen I. Postoperative cognitive dysfunction. Dtsch Arztebl Int. 2014;111(8):119–25.
Kline RP, et al. Surgery and brain atrophy in cognitively normal elderly subjects and subjects diagnosed with mild cognitive impairment. Anesthesiology. 2012;116:603–12.
Wang W, et al. Postoperative cognitive dysfunction: current developments in mechanism and prevention. Med Sci Monit. 2014;20:1908–12.
Rasmussen LS, et al. Benzodiazepines and postoperative dysfunction in the elderly. Br J Anaesth. 1999;83:585–9.
Farg E, et al. Is depth of anesthesia, as assessed by the bispectral index, related to postoperative cognitive dysfunction and recovery? Anesth Analg. 2006;103:633–40.
Li XM, et al. Relationship between post-operative cognitive dysfunction and regional cerebral oxygen saturation and beta-amyloid protein. J Zhejiang Univ Sci B. 2014;15(10):870–8.
Murkin JM, et al. Statement of consensus on assessment of neurobehavioral outcomes after cardiac surgery. Ann Thorac Surg. 1995;59:1289–95.
Kotekar N, et al. Post-operative cognitive dysfunction in the elderly: a prospective clinical study. Indian J Anaesth. 2014;58(3):263–8.
Hoecker J, et al. Postoperative neurocognitive dysfunction in elderly patients after xenon versus propofol anesthesia for major noncardiac surgery. Anesthesiology. 2009;110:1068–76.
Berger M, et al. Postoperative cognitive dysfunction: minding the gaps in our knowledge of a common postoperative complication in the elderly. Anesthesiol Clin. 2015;33(3):517–50.
Bilotta F, et al. Pharmacological perioperative brain neuroprotection: a qualitative review of randomized clinical trials. Br J Anaesth. 2013;110:113–20.
Chen W, et al. The effects of dexmedetomidine on post-operative cognitive dysfunction and inflammatory factors in senile patients. Int J Clin Exp Med. 2015;8(3):4601–5.
Guay J. General anesthesia does not contribute to long-term post-operative cognitive dysfunction in adults: a meta-analysis. Indian J Anaesth. 2011;55(4):358–63.
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Heir, J.S. (2018). Postoperative Cognitive Dysfunction as a Complication of Maxillofacial Surgery. In: Ferneini, E., Bennett, J. (eds) Perioperative Assessment of the Maxillofacial Surgery Patient. Springer, Cham. https://doi.org/10.1007/978-3-319-58868-1_43
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DOI: https://doi.org/10.1007/978-3-319-58868-1_43
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