Perioperative Neurocognitive Disorders in Adults Requiring Cardiac Surgery: Screening, Prevention, and Management

Author:

Rengel Kimberly F.12ORCID,Boncyk Christina S.12,DiNizo Daniella34,Hughes Christopher G.125

Affiliation:

1. Division of Anesthesia Critical Care Medicine, Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA

2. Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center and the Center for Health Services Research, Vanderbilt University Medical Center, Nashville, TN, USA

3. Scope Anesthesia of North Carolina, Charlotte, NC, USA

4. Pulmonary and Critical Care Consultants, Carolinas Medical Center, Atrium Health, Charlotte, NC, USA

5. Nashville Veterans Affairs Medical Center, Tennessee Valley Healthcare System, Nashville, TN, USA

Abstract

Neurocognitive changes are the most common complication after cardiac surgery, ranging from acute postoperative delirium to prolonged postoperative neurocognitive disorder. Changes in cognition are distressing to patients and families and associated with worse outcomes overall. This review outlines definitions and diagnostic criteria, risk factors for, and mechanisms of Perioperative Neurocognitive Disorders and offers strategies for preoperative screening and perioperative prevention and management of neurocognitive complications.

Funder

National Institute of Health

Foundation for Anesthesia Education and Research

Society of Academic Associations of Anesthesiology & Perioperative Medicine

Vanderbilt Faculty Research Scholars Program

Publisher

SAGE Publications

Subject

Anesthesiology and Pain Medicine,Cardiology and Cardiovascular Medicine

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