Perioperative Neurocognitive Disorders in Adults Requiring Cardiac Surgery: Screening, Prevention, and Management
Kimberly F. Rengel, Christina Boncyk, Daniella DiNizo, Christopher G. Hughes
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.
Topics & Concepts
NeurocognitiveMedicinePerioperativeDeliriumIntensive care medicineCognitionComplicationCardiac surgeryPsychiatryAnesthesiaSurgeryIntensive Care Unit Cognitive DisordersAnesthesia and Neurotoxicity ResearchCardiac, Anesthesia and Surgical Outcomes