Postoperative Cognitive Dysfunction
DOI:
https://doi.org/10.61788/njn.spec.18.5Keywords:
early postoperative cognitive dysfunction, ketamine, general anesthesiaAbstract
An evaluation of the incidence of early postoperative cognitive dysfunction (PDCD) in patients after various operations performed under conditions of general anesthesia was implemented. To assess cognitive abilities, the Montreal Cognitive Evaluation Scale (MoCA) and the 10-word test, was used. A study was made of the state of cognitive functions in the postoperative period after various operations under conditions of general anesthesia in 112 patients (40 women and 72 men) with a neurological and psychosomatic history. It was found that general anesthesia causes a decrease in cognitive parameters from 3 to 7 days and within 1-3 months after surgery in 55.3% of patients. The conducted study confirms the high prevalence of cognitive dysfunction in anaesthesiological practice in the postoperative period. The practical significance of the PDCD concept is the possibility of prevention, early diagnosis of cognitive disorders and the initiation of neuroprotective treatment in the postoperative period.
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