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العنوان
Postoperative Cognitive Dysfunction in Elderly Patients Undergoing Major Surgery: The Influence of Anesthetic Technique/
المؤلف
Almeligy,Hany Attia AbdAlgalel
هيئة الاعداد
باحث / هاني عطية عبد الجليل المليجي
مشرف / نبيلة محمد عبد العزيز
مشرف / أحمد علي الشبيني
مشرف / نيفين جرجس فهمي
مشرف / سامح أحمد رفعت
تاريخ النشر
2018
عدد الصفحات
94.p:
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
التخدير و علاج الألم
تاريخ الإجازة
1/1/2018
مكان الإجازة
جامعة عين شمس - كلية الطب - Anesthesiology
الفهرس
Only 14 pages are availabe for public view

from 95

from 95

Abstract

Cognition is defined as the mental processes of perception, memory and information processing. Cognitive dysfunction is thus impairment of these processes. Postoperative cognitive dysfunction (POCD) is characterized by progressive hypomnesia, personality change or deterioration in cognitive function after surgery. The incidence of POCD is rising steadily in patients undergoing general anesthesia. Risk factors for POCD, such as advancing age, the severity of surgery, the duration of anesthesia, the occurrence of complications, pre-existing cognitive impairments and the level of education, have been determined. Age is the main risk factor for POCD, and although it is well recognized that the incidence of POCD is higher in the elderly particularly those undergoing sevoflurane anesthesia, the mechanism is not fully understood. There have been several reports that central nervous system inflammation provoked by anesthesia and surgery plays an important role in the pathogenesis of POCD. Serum levels of S-100β protein increases significantly in patients had POCD.