Pre-existing cognitive impairment and post-operative cognitive dysfunction: ought to we be speaking the identical language?
Int Psychogeriatr. 2016 Jul;28(7):1053-5
Authors: Evered L, Silbert B, Scott DA
Adjustments in cognition are recognized to observe anesthesia and surgical procedure in older people (Evered et al., 2011). Though survival per se was the prime end result within the 19th and early 20th centuries for invasive procedures, a hyperlink was none-the-less noticed with hostile cognitive outcomes way back to 1887 (Savage, 1887). Historic stories of “madness” or “weak mindedness” after anesthesia appeared inside 40 years of the primary anesthetic having been administered and anecdotal and retrospective stories have implicated anesthesia ever since. Nonetheless, it was not till the 1970s that these observations obtained any sound scientific analysis, when clinicians turned conscious of cognitive adjustments following cardiac surgical procedure. It was assumed that the cardiopulmonary bypass (coronary heart lung machine) will need to have been the principle perpetrator as a result of it was this issue which so enormously distinguished cardiac surgical procedure from non-cardiac surgical procedure (Shaw et al., 1987). This lengthy held perception entered surgical folklore and was the idea for a lot of publications endeavoring to determine explicit features of the guts lung machine answerable for this cognitive decline.
PMID: 27145889 [PubMed – indexed for MEDLINE]