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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
https://doi.org/10.1358/dot.20...
Article . 2009 . Peer-reviewed
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Inhaled anesthesia and cognitive performance

Authors: Mandal PK; Schifilliti D; Mafrica F; FODALE, Vincenzo;

Inhaled anesthesia and cognitive performance

Abstract

Despite technological advances in surgery and anesthesia during the last few decades, the incidence of postoperative cognitive dysfunction remains a relatively common complication in surgical patients. After surgery, elderly patients in particular often exhibit a transient reversible state of cerebral cognitive alterations. Anesthetics administered as part of a surgical procedure may alter the patient's behavioral state by influencing brain activity. This concise report will address the scientific evidence on the relationship between postoperative cognitive dysfunctions and the most common inhalational agents currently used in anesthesia (volatile anesthetics: isoflurane, desflurane and sevoflurane, gaseous nitrous oxide). The available literature does not allow definitive conclusions to be drawn on the possible differences between anesthetics in relation to the subsequent occurrence of cognitive dysfunction. However, such information is crucial to improve anesthesia performance and patient safety, as well as outcomes.

Keywords

Methyl Ethers, Isoflurane, Age Factors, Nitrous Oxide, Sevoflurane, Postoperative Complications, Age Factors; Aged; Anesthetics; Inhalation; Cognition Disorders; Humans; Isoflurane; Methyl Ethers; Nitrous Oxide; Postoperative Complications; Risk Factors, Risk Factors, Anesthetics, Inhalation, Humans, Age Factors, Aged, Anesthetics; Inhalation; administration /&/ dosage/adverse effects, Cognition Disorders; epidemiology/etiology, Humans, Isoflurane; administration /&/ dosage/adverse effects/analogs /&/ derivatives, Methyl Ethers; administration /&/ dosage/adverse effects, Nitrous Oxide; administration /&/ dosage/adverse effects, Postoperative Complications; epidemiology/etiology, Risk Factors, Cognition Disorders, Desflurane, Aged

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
32
Top 10%
Top 10%
Top 10%
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