Predicting and Mitigating Risk of Postoperative Cognitive Dysfunction: Is a Major Breakthrough on the Horizon?

Your Patient's Brain| May 2024 Predicting and Mitigating Risk of Postoperative Cognitive Dysfunction: Is a Major Breakthrough on the Horizon? George Tewfik, MD, MBA, FASA; George Tewfik, MD, MBA, FASA Search for other works by this author on: This Site PubMed Google Scholar Alex Bekker, MD, PhD; Alex Bekker, MD, PhD Search for other works by this author on: This Site PubMed Google Scholar Daniel J. Cole, MD, FASA Daniel J. Cole, MD, FASA Search for other works by this author on: This Site PubMed Google Scholar ASA Monitor May 2024, Vol. 88, 1–6. https://doi.org/10.1097/01.ASM.0001016780.82092.72 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn Email Cite Icon Cite Get Permissions Search Site Citation George Tewfik, Alex Bekker, Daniel J. Cole; Predicting and Mitigating Risk of Postoperative Cognitive Dysfunction: Is a Major Breakthrough on the Horizon?. ASA Monitor 2024; 88:1–6 doi: https://doi.org/10.1097/01.ASM.0001016780.82092.72 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsASA Monitor Search Advanced Search Topics: postoperative cognitive dysfunction Postoperative cognitive dysfunction (POCD) – also referred to as perioperative neurocognitive disorders – and delirium are pathologic states that may develop after surgery and often result in distress to the patient, family members, medical practitioners, and the health care system. Patients who suffer from POCD may experience short- or long-term physical or emotional disturbances. These may require supportive care such as home health aides or, in extreme cases, institutionalization in a nursing facility. Given the potential for significant financial and health care-related consequences, there has been great interest regarding research into POCD. Such research includes inquest of contributing factors, strategies to mitigate risk, and (importantly) the ability to predict increased risks for patients undergoing a surgical procedure under anesthesia. Past studies have shown that both frailty and preexisting cognitive impairment are contributing risk factors toward the development of POCD. Nonetheless, patients who are neither frail nor explicitly cognitively impaired may... You do not currently have access to this content.