Open AccessThe Influence of Anesthesia and Pain Management on Cognitive Dysfunction After Joint Arthroplasty: A Systematic Review
Author(s) -
Michael G. Zywiel,
Atul Prabhu,
Anthony V. Perruccio,
Rajiv Gandhi
Publication year - 2014
Publication title -
clinical orthopaedics and related research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.178
H-Index - 204
eISSN - 1528-1132
pISSN - 0009-921X
DOI - 10.1007/s11999-013-3363-2
Subject(s) - medicine , postoperative cognitive dysfunction , arthroplasty , delirium , anesthesia , medline , cognition , anesthetic , randomized controlled trial , surgery , intensive care medicine , psychiatry , political science , law
Despite the overall success of total joint arthroplasty, patients undergoing this procedure remain susceptible to cognitive decline and/or delirium, collectively termed postoperative cognitive dysfunction. However, no consensus exists as to whether general or regional anesthesia results in a lower likelihood that a patient may experience this complication, and controversy surrounds the role of pain management strategies to minimize the incidence of postoperative cognitive dysfunction.