Neurocognitive Dysfunction and Delirium

Lucillia Bezu, Bernard Cholley

Résultats de recherche: Le chapitre dans un livre, un rapport, une anthologie ou une collection!!ChapterRevue par des pairs

Résumé

Neurological complications represent the main risk of morbidity and mortality after cardiac surgery. Cardiopulmonary bypass was considered for a long time as the major cause of such problems. However, modern surgical techniques have not reduced the prevalence of postoperative brain disorders. Patient-specific characteristics are probably more important determinants than the type of surgery itself. Postoperative neurological injuries are classified into four categories: (1) focal lesions (stroke) responsible for severe cerebral damage (2) reversible neurocognitive dysfunction without any focal deficit; (3) seizures and (4) delirium. Prevention strategies based on statins or aspirin during the preoperative period may yield some benefits. Surgeons are advised to use epiaortic ultrasound prior to aortic cannulation as an effective mean to reduce type 1 complications. Anesthesiologists have to monitor global and regional perfusion indices to try to minimize potential cerebral suffering during surgery. Finally, in case of neurological injury, the use of appropriate neuroimaging techniques to guide diagnosis and early intervention when indicated, management of postoperative medications combined with early rehabilitation represents the best recommended strategy.

langue originaleAnglais
titreCardiac Anesthesia and Postoperative Care in the 21st Century
EditeurSpringer International Publishing
Pages365-376
Nombre de pages12
ISBN (Electronique)9783030797218
ISBN (imprimé)9783030797201
Les DOIs
étatPublié - 1 janv. 2022
Modification externeOui

Contient cette citation