Recovery and cognitive function after fentanyl or remifentanil administration for carotid endarterectomy

Kostopanagiotou, Georgia; Markantonis, Sophia L.; Polydorou, Maria; Pandazi, Ageliki; Kottis, George

doi:10.1016/j.jclinane.2004.03.008

Cited by 26 publications

(16 citation statements)

References 30 publications

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“…Studies were excluded when dealing with pharmacology recovery after anesthesia (nϭ2), 11,12 lacking postoperative assessment (nϭ1), 13 case reports (nϭ2), 14,15 review articles (nϭ4), [7][8][9][10] or ongoing trials without available results (nϭ3). One study was considered a duplicate 16 of another included study 17 (Figure).…”

Section: Search Resultsmentioning

confidence: 99%

The Role of Carotid Artery Stenting and Carotid Endarterectomy in Cognitive Performance

Rango

Caso

Leys

et al. 2008

Stroke

131

115

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Background and Purpose-Change in cognition is being increasingly recognized as an important outcome measure; however, the role of carotid revascularization on this issue remains to be determined. It is still under debate whether carotid artery stenting and carotid endarterectomy have the same influence on neuropsychological functions. Summary of Review-This article systematically reviews recent literature in an attempt to clarify this issue. A total of 32 papers reporting on neurocognition after carotid endarterectomy (nϭ25), carotid artery stenting (nϭ4), or carotid artery stenting versus carotid endarterectomy (nϭ3) were identified. The studies were different for many methodological factors, eg, sample size, type of patients and control group, statistical measure, type of test, timing of assessment, and so on. There was a lack of consensus in defining the improvement or impairment after either carotid artery stenting or carotid endarterectomy. Furthermore, there were nonuneqivocal results regarding the same domain of assessment (memory, visuomotor, attention). Based on available evidence, it is probable that carotid endarterectomy as well as carotid artery stenting do not change neuropsychological function "per se." Conclusions-Assessment of cognition after carotid revascularization is probably influenced by many confounding factors such as learning effect, type of test, type of patients, and control group, which are often minimized in their importance. The role of carotid revascularization is to prevent stroke in patients with severe carotid stenosis as highlighted by previous large randomized trials. Although an effect of carotid revascularization on cognition could be missed as a consequence of underpowered studies included in this review, at this time, no prediction can be done regarding its repercussions on higher intellectual functions. Larger studies appropriately designed and powered to assess cognition after carotid revascularization might change this view. (Stroke. 2008;39:3116-3127.)

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Section: Search Resultsmentioning

confidence: 99%

The Role of Carotid Artery Stenting and Carotid Endarterectomy in Cognitive Performance

Rango

Caso

Leys

et al. 2008

Stroke

131

115

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“…Terevnikov and colleagues [32] administered the tests 7-10 days after surgery, at 1 month follow-up and, than every 6 months for 2 years; Bossema and colleagues [33] performed two post-operative assessments at 3 months and one year, and the most recent study of Bo and colleagues [34] used a 3 years post-operative follow-up. In most studies (13/21, 62%) the follow-up period ranged between few days to 6 months [35][36][37][38][39][40][41][42][43][44][45][46][47], while 4 studies measured the cognitive performance immediately after CEA (between 6 hours and 4 days) [48][49][50][51]. It is interesting to notice, as Table 1 points out, that a decline has been found especially in studies that measured the cognitive performance, few days after surgery or within one month from it [37,46,47,49,50], while in studies with a longer follow-up improvement seems to prevail [31,32,40,46], made exception for a recent study [34] that reveals a decline in patient with left symptomatic stenosis.…”

Section: Designmentioning

confidence: 99%

“…Demographic variables included age, gender and years of education. Surgery details included type of used anaesthesia which has been specified in 8 studies [35, 37, 40, 44-46, 49, 50], of which 7 reported the use of general anaesthesia and one local anaesthesia [40], while only 5 [33,38,46,[49][50][51] specified the anaesthetic used. Moreover, 3 studies [40,46,47] reported to have used selectively a shunt and one [38] reported to use it routinely.…”

Section: Patient Characteristicsmentioning

confidence: 99%

“…Moreover, 3 studies [40,46,47] reported to have used selectively a shunt and one [38] reported to use it routinely. 4 studies [33,36,39,50] considered the possibility of using the right hand or the left; only 3 studies [33,50,51] specified the duration of the operation; 4 studies [35,46,50,51] specified the clamping-time; 5 studies [34,35,39,44,50,51] considered specific clinical characteristics of patients, such as smoking, diabetes, hyperlipidemia, hypertension and hypercholesterolemy; 2 studies [42,49] pointed out the level of S100B; 1 study [46] considered the presence of the APOE-epsilon 4 allele; finally 1 study [47] considered the level of the leucocytes.…”

Section: Patient Characteristicsmentioning

confidence: 99%

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Psychological impact of carotid endarterectomy: A review of the studies

Sciarroni

Gremigni

Pedrini

2016

Monaldi Arch Chest Dis

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Results of the 39 studies considered suggest that, although few studies show cognitive deterioration, most of them show stability with a tendency to improve both in cognitive functions and in other psychological areas. Further research is needed to clarify when it would be appropriate the use of CEA, the characteristics of eligible patients, and psychological as well as physical expected outcomes.

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“…Despite its advantages (rapid recovery, which allows for postoperative neurological evaluation, and no nausea or vomiting,), propofol might cause POCD (6,8,9). S-100 beta protein is a Ca…”

Section: Introductionmentioning

confidence: 99%

The effect of total intravenous anesthesia on the postoperative cognitive functions of young and elderly patients after lumbar disk surgery

Ilvan¹,

Özköse²

2015

Turk J Med Sci

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Background/aim: The negative effects of surgery and anesthesia on cognitive functions and their relationships with many factors are well known. In the present study we aimed to investigate the effect of the total intravenous anesthesia (TIVA) method on the postoperative cognitive functions between young and elderly patients scheduled to undergo lumbar disk surgery. Materials and methods:The TIVA method was applied to 40 patients less than 65 years old (young, Group Y) and ≥65 years old (old, Group O), whose Mini Mental State Examination (MMSE) results and serum S-100 beta protein levels were compared preoperatively and postoperatively at the 24th hour.Results: Postoperative cognitive dysfunction was not observed in any of the groups in the early stage. MMSE results and mean S-100 beta protein levels determined before and after the operation did not have statistically significant differences between the groups over time. Conclusion:In the present study, the TIVA method did not affect postoperative early cognitive functions in either old or young patients who underwent lumbar disk surgery.

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Recovery and cognitive function after fentanyl or remifentanil administration for carotid endarterectomy

Cited by 26 publications

References 30 publications

The Role of Carotid Artery Stenting and Carotid Endarterectomy in Cognitive Performance

The Role of Carotid Artery Stenting and Carotid Endarterectomy in Cognitive Performance

Psychological impact of carotid endarterectomy: A review of the studies

The effect of total intravenous anesthesia on the postoperative cognitive functions of young and elderly patients after lumbar disk surgery

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