TY  - CHAP
M1  - Book, Section
TI  - Chapter 84. Cognitive Dysfunction after Anesthesia and Surgery
A1  - Hathaway, Jessica A.
A1  - Newman, Mark F.
A1  - Mathew, Joseph P.
A2  - Longnecker, David E.
A2  - Brown, David L.
A2  - Newman, Mark F.
A2  - Zapol, Warren M.
PY  - 2012
T2  - Anesthesiology, 2e
AB  - Cognition  represents  key  processes  of  memory,  attention,  perception,  problem  solving,  and  mental  imagery  that  define  who  we  are  as  individuals.Cognitive  functioning  is  key  to  the  activities  of  daily  living  and  our  overall  quality  of  life.Cognitive  assessment  occurs  by  a  number  of  well-validated  measurements  outlined  in  the  field  of  neuropsychology.  Assessment  of  cognitive  functioning  in  the  perioperative  period  is  often  less  complete  than  normal;  however,  understanding  what  is  measured  by  each  individual  test  and  how  these  values  change  over  time  is  essential  in  understanding  the  implications  to  our  patients  of  perioperative  cognitive  decline.The  incidence  of  postoperative  cognitive  dysfunction  varies  based  on  the  sensitivity  of  the  tests  used  and  the  time  frame  for  evaluation.  Correlation  with  appropriate  control  groups  gives  the  best  idea  of  the  relative  impact  of  surgery  and  anesthesia  on  changes  in  cognition  and  quality  of  life.The  etiology  of  cognitive  function  and/or  cognitive  dysfunction  is  complex  and  is  associated  with  the  severity  of  diseases  including  atherosclerosis  and  diabetes,  as  well  as  with  surgery  and  anesthesia.  The  effect  of  anesthetic  agents  on  short-  and  long-term  cognition  is  controversial.New  studies  indicate  an  association  between  patient  factors  including  disease  severity  and  genetic  predisposition,  and  perioperative  cognitive  decline.Determining  the  risks  of  perioperative  cognitive  decline  enhances  the  probability  of  developing  interventions  to  reduce  cognitive  decline  and  thus  improve  quality  of  life  after  surgery.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=56655336
ER  -