需要心脏手术的成人围手术期神经认知障碍:筛查、预防和管理。

Kimberly F Rengel, Christina S Boncyk, Daniella DiNizo, Christopher G Hughes
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引用次数: 4

摘要

神经认知改变是心脏手术后最常见的并发症,从急性术后谵妄到术后延长的神经认知障碍。认知的改变对患者和家属来说是痛苦的,并且总体上与更糟糕的结果有关。本文概述了围手术期神经认知障碍的定义、诊断标准、危险因素和机制,并提出了围手术期神经认知并发症的术前筛查和预防及处理策略。
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Perioperative Neurocognitive Disorders in Adults Requiring Cardiac Surgery: Screening, Prevention, and Management.

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.

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来源期刊
CiteScore
3.60
自引率
14.30%
发文量
31
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