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Peri‐operative neurological complications
Author(s) -
Hood R.,
Budd A.,
Sorond F. A.,
Hogue C. W.
Publication year - 2018
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/anae.14142
Subject(s) - medicine , delirium , etiology , perioperative , stroke (engine) , cerebral hypoperfusion , intensive care medicine , postoperative cognitive dysfunction , cognitive decline , anesthesia , cognition , perfusion , cardiology , dementia , psychiatry , mechanical engineering , disease , engineering
Summary 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.