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Research Articles
Published: 2019-12-12

Condition of cognitive function on the first week after an operation using general anesthesia

Kharkiv National Medical University
Kharkiv national medical university
anesthesia general anesthesia cognitive function neurology

Abstract

To achieve this goal, we conducted a study of the cognitive sphere in patients of different age groups: young age, middle age, elderly people with acute surgical pathology before surgery and on the 1st and 7th days after surgery in comparison with preoperative data.

According to the results of the MMSE test, in the middle-aged patients the dynamics of the deterioration of the cognitive function were observed to a lesser degree than in the young patients, which is probably related to the age-related features of the plasticity of the cognitive function. In patients of middle age, according to the results of the FAB scale, at this period of the study was at the same level as those in young patients, which may be related to the age-related features of the plasticity of the cognitive function. According to the test drawing hours, there was no significant difference in the speed of recovery, it was gradual, but no complete restoration was observed. According to the memory test of 10 words and the Schulte test parameters, the recovery was gradual, with a complete restoration of the indicator to the level before the operation.

Full-text of the article is available for this locale: Українська.

References

  1. Abildstrom H, Rasmussen LS, Rentowl P, et al. Cognitive dysfunction 1-2 years after non-cardiac surgery in the elderly, ISPOCD group, International study of post-operative cognitive dysfunction. Acta Anaesthesiol Scand. 2000;44(10):1246-51. DOI: https://doi.org/10.1034/j.1399-6576.2000.441010.x PMID: https://www.ncbi.nlm.nih.gov/pubmed/11065205
  2. Usenko LV, Eid RS, Kryshtafor AA, et al. Prevention and correction of postoperative cognitive dysfunction in elderly patients. International Neurological Journal. 2008;3(19):99-110. URL: http://www.mif-ua.com/archive/article/6200
  3. Usenko LV, Eid RS, Kryshtafor AA, et al. Prevention and correction of postoperative cognitive dysfunction in elderly patients. International Neurological Journal. 2008;4(20):87-94. URL: http://www.mif-ua.com/archive/article/7178
  4. Isaev SV, Lihvancev VV, Kichin VV. The influence of perioperative factors and the choice of anesthesia method on the incidence of cognitive impairment in the postoperative period. Irkutsk: IX Congress of the Federation of Anesthesiologists; 2004:113-114.
  5. Shnajder NA, Shprah VV, Salmina AB. Postoperative cognitive dysfunction: prevention, diagnosis, treatment, toolkit for doctors. Krasnoyarsk: Instant printing; 2005:95.
  6. Davydova NS. Possible criteria for predicting cerebrovascular accidents during anesthesia. Ann Crit Care. 2004;5:232-4.
  7. Shnajder NA. A new look at the problem of postoperative cognitive dysfunction. Gostri ta nevidkladni stany u praktyci likarja. 2008;5(13):14. URL: https://urgent.com.ua/ru-issue-article-186
  8. Rasmussen LS, Jonson T, Kuipers HM, et al. A randomized study of regional versus general anesthesia in 438 elderly patients, does anesthesia cause postoperative cognitive disfunction. Acta Anaesthesiol Scand. 2003;47(3):1188-94. DOI: https://doi.org/10.1034/j.1399-6576.2003.00057.x PMID: https://www.ncbi.nlm.nih.gov/pubmed/12648190
  9. Newman S, Stygall J, Hirani S, Shaefi S, Maze M. Postoperative cognitive dysfunction after noncardiac surgery: a systematic review. Anesthesiology. 2007;106(3):572-90. DOI: https://doi.org/10.1097/00000542-200703000-00023 PMID: https://www.ncbi.nlm.nih.gov/pubmed/17325517
  10. Chen X, Zhao M, White PF, et al. The recovery of cognitive function after general anesthesia in elderly patients: a comparison of desflurane and sevoflurane. Anesth Analg. 2001;93(6):1489-94. DOI: https://doi.org/10.1097/00000539-200112000-00029 PMID: https://www.ncbi.nlm.nih.gov/pubmed/11726429
  11. Shnajder NA, Salmina AB. Neurological complications of general anesthesia. Krasnoyarsk: KrasSMU; 2004:383.
  12. Zaharov VV, Jahno NN. Cognitive Disorders in the Elderly and Old Age. Moscow: Toolkit for Physicians; 2005:71.

How to Cite

1.
Dubivska С, Hryhorov Ю. Condition of cognitive function on the first week after an operation using general anesthesia. PMGP [Internet]. 2019 Dec. 12 [cited 2024 Mar. 28];4(2):e0402197. Available from: https://ojsdemo.e-medjournal.com/index.php/psp/article/view/197