Management of cognition as reported in Japanese historical documents and modern anesthesiology research papers

The role of Perioperative Surgical Home on health and longevity in society: importance of the surgical prehabilitation program

“…These situations resemble locomotive syndrome and frailty in the elderly and hospitalized patients undergoing surgery can be considered to have a high risk of locomotive syndrome and frailty. In addition, the development of delirium and cognitive dysfunction after surgery further deteriorates the patient's physical status due to increased morbidity and hospital length of stay, especially in elderly patients [16,17].…”

Postoperative Cognitive Dysfunction: Preclinical Highlights and Perspectives on Preventive Strategies

“…Due to these limitations, preoperative management should be focused on promoting an early recognition of the patients at risk, and preventative measures should be taken from a multimodal approach compri sing collaboration between the anaesthesiologist, surgeon, geriatricians and inclusion of fami ly in the postoperative care plan in order to improve overall recovery and avoid long-term sequelae of POCD [2,6,10,66]. Furthermore, it is recommended that patients at high risk for POCD should get preoperative discussion of this issue, allowing patients to make cognitively demanding decisions before surgery [2].…”

“…Notwithstanding the fact that POCD is a common complication for geriatric patients, currently there is not any available st ment after general anaesthesia [66]. Additionally, due to the challen ging nature of POCD, examples of randomized controlled studies assessing possible intervention for treating or improving POCD are scarce [2].…”