Peri-operative neurological complications

被引:50
作者
Hood, R. [1 ]
Budd, A. [1 ]
Sorond, F. A. [2 ]
Hogue, C. W. [1 ]
机构
[1] Northwestern Univ, Feinberg Sch Med, Dept Anesthesiol, Chicago, IL 60611 USA
[2] Northwestern Univ, Feinberg Sch Med, Dept Neurol, Chicago, IL 60611 USA
基金
美国国家卫生研究院;
关键词
cardiac surgery; cerebrovascular accident; postoperative cognitive dysfunction; postoperative delirium; CORONARY-ARTERY-BYPASS; CEREBRAL AUTOREGULATION THRESHOLD; CARDIOPULMONARY BYPASS; CARDIAC-SURGERY; COGNITIVE DYSFUNCTION; BLOOD-PRESSURE; STROKE; DELIRIUM; DISEASE; RISK;
D O I
10.1111/anae.14142
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Brain injury from cardiac surgery is an important source of patient morbidity and mortality. The relationship between risk of brain injury and advanced age portends a rising frequency of these complications due to an increasing proportion of elderly patients undergoing cardiac surgery. This review will explore the aetiology and risk factors for peri-operative stroke, postoperative cognitive dysfunction and postoperative delirium. The prevention of each of these conditions will also be discussed, with a focus on brain protection strategies and the avoidance of cerebral embolism and hypoperfusion.
引用
收藏
页码:67 / 75
页数:9
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