지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Cognitive changes in patients after anesthesia and surgery have been recognized for over 100 years. Research on postoperative cognitive changes accelerated in the 1980s and the term postoperative cognitive dysfunction emerged, which was used until recently. Postoperative cognitive dysfunction has been used in research to describe an objectively measurable decline in cognitive function using neuropsychological tests. This dysfunction had significant heterogeneity in the type, number of tests, timing of tests, and the criteria for change. Therefore, a recent article recommended a new nomenclature for perioperative neurocognitive disorders including neurocognitive disorder, postoperative delirium, delayed neurocognitive recovery, and postoperative neurocognitive disorder. Since old age and baseline cognitive impairment are important risk factors for these perioperative neurocognitive disorders, routine preoperative cognitive assessment in all elderly patients is recommended. A preventive strategy is important, since effective modality for the treatment of perioperative neurocognitive disorders is not yet known. Intraoperative monitoring of ageadjusted end-tidal minimal alveolar concentration fraction, electroencephalography-based anesthetic management, and perioperative non-pharmacological methods are recommended for effective prevention.
목차
등록된 정보가 없습니다.
참고문헌 (45)
참고문헌 신청
Centers for Disease Control and Prevention / Number of all-listed procedures for discharges from short-stay hospitals, by procedure category and age: United States, 2010
Savage GH / 1887 / Insanity following the use of anæsthetics in opera-tions / Br Med J 2:1199~1200
Lewis MS / 2006 / Detection of postoperative cognitive decline after coronary artery bypass graft surgery is affected by the number of neuropsychological tests in the assessment battery / Ann Thorac Surg 81:2097~2104
Evered L / 2018 / Recommendations for the nomenclature of cognitive change associated with anaesthesia and surgery-2018 / Anesthesiology 129:872~879
Mahanna-Gabrielli E / 2019 / State of the clinical science of perioperative brain health : report from the American Society of Anesthesiologists Brain Health Initiative Summit 2018 / Br J Anaesth 123:464~478
Savage GH / 1887 / Insanity following the use of anæsthetics in opera-tions / Br Med J 2:1199~1200
Lewis MS / 2006 / Detection of postoperative cognitive decline after coronary artery bypass graft surgery is affected by the number of neuropsychological tests in the assessment battery / Ann Thorac Surg 81:2097~2104
Evered L / 2018 / Recommendations for the nomenclature of cognitive change associated with anaesthesia and surgery-2018 / Anesthesiology 129:872~879
Mahanna-Gabrielli E / 2019 / State of the clinical science of perioperative brain health : report from the American Society of Anesthesiologists Brain Health Initiative Summit 2018 / Br J Anaesth 123:464~478
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