A clearer view on postoperative cognitive dysfunction? [Letter]
作者: Gijsbert J van der VeenCornelis Slagt
作者单位: 1Radboud University Medical Center
刊名: Local and Regional Anesthesia, 2019, Vol.2019 (default), pp.27-28
来源数据库: Dove Journal
DOI: 10.2147/LRA.S201896
原始语种摘要: Fathy et al1 rightfully emphasize the importance of postoperative cognitive dysfunction (POCD) as it is associated with longer length of in-hospital stay and an increased mortality in the first year after surgery.2,3 However, in contrast to the conclusion made by Fathy et al, it is not anaesthesia and surgery that is a risk factor for the development of POCD.4 Baseline patient characteristics (education level, age, frailty) and in-hospital delirium are major contributors for the development of POCD.2-4 Subsequent there were no differences found in the incidence of POCD between regional versus general anaesthesia.5 Although Fathy et al target a very vulnerable patient group with respect to risk factors of developing POCD it is very unlikely, in relation to the aforementioned, that there...
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  • postoperative 手术后的
  • anaesthesia 感觉缺失
  • anaesthetic 麻醉剂
  • bupivacaine 丁哌卡因
  • lidocaine 利多卡因
  • delirium 谵妄
  • receiving 接收
  • incidence 入射
  • vulnerable 要害
  • developing 显影