无创影像在围手术期神经认知障碍中的作用

M. S. Vandiver
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引用次数: 0

摘要

围手术期神经认知障碍,包括术后谵妄和长期认知功能障碍,是麻醉医师和研究人员日益关注的焦点。为了使患者安全度过围手术期,同时将麻醉、手术和术后对患者功能状态的影响降到最低,对那些对患者影响最大的实体进行了高度的审查。围手术期神经认知障碍(PND)有可能极大地改变手术后患者的功能状态,在知情同意过程中,麻醉师通常是第一个被问及这可能对患者产生影响的医生。虽然PND的潜在机制尚不清楚,但越来越多的工具被用于非侵入性成像,从而揭示PND的病理生理。在这篇叙述性的小综述中,我们讨论了目前对PND的研究,重点是无创成像和预防策略,这些策略被用来更好地保护患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Role of non-invasive imaging in perioperative neurocognitive disorders
Perioperative Neurocognitive disorders, including delirium and long-term cognitive dysfunction following surgery, are an ever-increasing focus of investigation for anesthesiologists and researchers. The desire to bring patients safely through the perioperative period with an absolute minimum impact of the anesthetic, surgery, and post-operative period on the patient's functional status has brought a high level of scrutiny to entities that most impact patients. Perioperative neurocognitive disorders (PND) have the potential to vastly alter patient functional status after surgery and anesthesiologists are often the first physician asked about the effects this may have on the patient during the informed consent process. While the underlying mechanisms of PND are not well understood, more tools are being brought to bear with non-invasive imaging shedding light on the pathophysiology of PND. In this narrative mini-review, we discuss the current investigation into PND with a focus on non-invasive imaging and preventative strategies that are being employed to better protect patients.
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