Regional versus general anaesthesia for improved cognitive function after procedures other than cardiac surgery or neurosurgery in adult and paediatric patients

Andreae, Michael H.; Atchabahian, Arthur; McCrillis, Aileen; Chao, Jerry Y.; Suzuki, Suzuko; Shinnar, Shlomo; Hall, Charles B.; Lipton, Richard B.

doi:10.1002/14651858.cd008737.pub2

Cited by 3 publications

(2 citation statements)

References 33 publications

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“…Several studies recommended regional anesthesia to prevent POCD. Also, some studies compared GA to RA and found that early POCD can be more severe in the GA patients (46). Elderly patients experienced more severe POCD after GA (18).…”

Section: Discussionmentioning

confidence: 99%

Early Postoperative Cognitive Dysfunction in Women Undergoing Elective and Emergent Caesarian Section under General Anaesthesia: A Comparative Study

et al. 2022

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Background: Postoperative cognitive dysfunction (POCD) following cesarean section (CS) is a growing and underestimated problem with unknown mechanisms. Studies suggest that general anesthesia (GA) plays a role in the development of early POCD. Objectives: This study aimed to assess the incidence of early POCD after elective and emergent CS under GA. Methods: We assessed the difference between the elective and emergent groups regarding the mini-mental state examination (MMSE), hemodynamic effects such as mean blood pressure (MBP), and heart rate (HR). Paired t-test was applied for intragroup comparison, and Student’s t-test (or Mann–Whitney U test, as appropriate) for intergroup comparison. Results: MMSE one hour after the operation was significantly lower than preoperative MMSE in the emergent group, and the MMSE tended to return to normal values faster in the elective than in the emergent group. Moreover, we found a significantly lower MBP and higher HR (at 15, 30, and 45 minutes) in both groups compared to preoperative values. Regarding intergroup comparison, MBP (at 30 minutes) significantly decreased in the elective group compared to the emergent group. Conclusions: There was a significantly lower POCD, especially at the first hour postoperatively, in the elective CS than in the emergent CS. Elective CS might have a positive effect on the women’s health as a mode of delivery.

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Section: Discussionmentioning

confidence: 99%

Early Postoperative Cognitive Dysfunction in Women Undergoing Elective and Emergent Caesarian Section under General Anaesthesia: A Comparative Study

et al. 2022

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“…These tables provide outcome-specific information concerning the overall quality of evidence derived from the included studies, the magnitude of the effects of the interventions examined and the sum of the available data on the outcomes that were considered. [21]…”

Section: Methodsmentioning

confidence: 99%

A meta-analysis of the effects of probiotics and synbiotics in children with acute diarrhea

Yang¹,

Lü

et al. 2019

Medicine

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The problem of choosing anesthesia method for surgical interventions on the lower limbs in young patients

Georgiyants

Popsuishapka

Ryndenko

et al. 2021

SR:MS

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The relevance of the topic is due to the prevalence of lower limbs injuries in people of working age, the complexity of the methods of their surgical treatment and the problem of finding the optimal method of anesthesia in terms of efficiency and safety. Objective of the study: to conduct a systematic analysis of modern scientific literature data on the possibility of using anesthesia methods during surgical interventions and in the case of anesthesia for injuries of the lower limbs in people of working age. Materials and methods. A search for scientific sources was carried out in the scientometric databases Scopus and Web of Science, Google Scholar, archives of journals using the keywords "general anesthesia", "regional anesthesia", "injuries of the lower limbs", "young people", "general anesthesia". The search depth was 8 years. Conclusions. The problem of choosing the method of anesthesia during traumatological surgeries in people of working age has no final solution. In general, both general and regional anesthesia can be used, despite their advantages and the possibility of complications in each case. However, in clinical practice over the past decade, general anesthesia is not always the best method of pain relief. But regional methods have less effect on the vital functions of the body, and the use of ultrasound navigation and modern local anesthetics in a minimum sufficient amount makes anesthesia conduction more effective and safe. The disadvantages of regional anesthesia can be avoided by combining it with general anesthesia. However, in the available literature, there are no recommendations on the differentiated choice of the method of anesthesia for surgical interventions on the lower limbs in people of working age and the factors that influence this

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Regional versus general anaesthesia for improved cognitive function after procedures other than cardiac surgery or neurosurgery in adult and paediatric patients

Cited by 3 publications

References 33 publications

Early Postoperative Cognitive Dysfunction in Women Undergoing Elective and Emergent Caesarian Section under General Anaesthesia: A Comparative Study

Early Postoperative Cognitive Dysfunction in Women Undergoing Elective and Emergent Caesarian Section under General Anaesthesia: A Comparative Study

A meta-analysis of the effects of probiotics and synbiotics in children with acute diarrhea

The problem of choosing anesthesia method for surgical interventions on the lower limbs in young patients

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