Journal
ANAESTHESIA
Volume 73, Issue -, Pages 67-75Publisher
WILEY
DOI: 10.1111/anae.14142
Keywords
cardiac surgery; cerebrovascular accident; postoperative cognitive dysfunction; postoperative delirium
Categories
Funding
- National Institutes of Health, Bethesda, Maryland [NHLBI RO1 64600]
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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.
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