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Cognitive impairment measured by event-related potentials during early and late postoperative period following intravenous or inhalation anaesthesia
I. Holečková, J. Kletečka, D. Štěpánek, S. Žídek, D. Bludovský, J. Pouska, P. Mautner, V. Přibáň,
Jazyk angličtina Země Nizozemsko
Typ dokumentu srovnávací studie, časopisecké články, randomizované kontrolované studie, práce podpořená grantem
- MeSH
- dospělí MeSH
- evokované potenciály * MeSH
- inhalační anestezie škodlivé účinky metody MeSH
- intraoperační neurofyziologická monitorace * MeSH
- intravenózní anestezie škodlivé účinky metody MeSH
- kognitivní dysfunkce etiologie patofyziologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- pooperační období MeSH
- senioři MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- randomizované kontrolované studie MeSH
- srovnávací studie MeSH
OBJECTIVE: This study investigated modification in cognitive function following inhalation (IA) and total intravenous (TIVA) anaesthesia measured using auditory ERPs (Event Related Potentials). METHODS: Auditory ERPs examination with N1, P3a and P3b component registration was carried out one day before surgery (D-1) and on the first (D+1), sixth (D+6) and 42nd (D+42) days after surgery. Results were compared between two anaesthetic groups. RESULTS: On D+1, N1 latency was increased in the IA group. A significant reduction was observed in amplitude of the P3a component on D+6, which persisted up to D+42 for both IA and TIVA groups. A reduction in the amplitude of P3b on D+1 with normalization by D+6 was found in both groups as well. CONCLUSIONS: Intravenous and inhalation anaesthesia lead to similar changes in cognitive function as determined by ERPs, both during the early and late postoperative periods. It cannot be clearly confirmed whether the observed effects are due to anaesthesia or other unmonitored perioperative factors. SIGNIFICANCE: Post anaesthetic changes represent a subclinical impairment; nevertheless, they represent a potential risk for subsequent development of cognitive difficulties.
Department of Neurosurgery University Hospital Alej Svobody 80 306 00 Plzeň Czech Republic
Faculty of Medicine Charles University Husova 3 310 00 Plzeň Czech Republic
University of West Bohemia Univerzitní 8 306 14 Plzeň Czech Republic
Citace poskytuje Crossref.org
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- $a Holečková, Irena $u Department of Neurosurgery, University Hospital, Alej Svobody 80, 306 00 Plzeň, Czech Republic; Faculty of Medicine, Charles University, Husova 3, 310 00 Plzeň, Czech Republic. Electronic address: holeckova@fnplzen.cz.
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- $a Cognitive impairment measured by event-related potentials during early and late postoperative period following intravenous or inhalation anaesthesia / $c I. Holečková, J. Kletečka, D. Štěpánek, S. Žídek, D. Bludovský, J. Pouska, P. Mautner, V. Přibáň,
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- $a OBJECTIVE: This study investigated modification in cognitive function following inhalation (IA) and total intravenous (TIVA) anaesthesia measured using auditory ERPs (Event Related Potentials). METHODS: Auditory ERPs examination with N1, P3a and P3b component registration was carried out one day before surgery (D-1) and on the first (D+1), sixth (D+6) and 42nd (D+42) days after surgery. Results were compared between two anaesthetic groups. RESULTS: On D+1, N1 latency was increased in the IA group. A significant reduction was observed in amplitude of the P3a component on D+6, which persisted up to D+42 for both IA and TIVA groups. A reduction in the amplitude of P3b on D+1 with normalization by D+6 was found in both groups as well. CONCLUSIONS: Intravenous and inhalation anaesthesia lead to similar changes in cognitive function as determined by ERPs, both during the early and late postoperative periods. It cannot be clearly confirmed whether the observed effects are due to anaesthesia or other unmonitored perioperative factors. SIGNIFICANCE: Post anaesthetic changes represent a subclinical impairment; nevertheless, they represent a potential risk for subsequent development of cognitive difficulties.
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- $a Kletečka, Jakub $u Faculty of Medicine, Charles University, Husova 3, 310 00 Plzeň, Czech Republic; Department of Anesthesiology and Intensive Care Medicine, University Hospital, Alej Svobody 80, 306 00 Plzeň, Czech Republic. Electronic address: kleteckaj@fnplzen.cz.
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- $a Štěpánek, David $u Department of Neurosurgery, University Hospital, Alej Svobody 80, 306 00 Plzeň, Czech Republic; Faculty of Medicine, Charles University, Husova 3, 310 00 Plzeň, Czech Republic. Electronic address: stepanek@fnplzen.cz.
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- $a Žídek, Slavomír $u Department of Neurosurgery, University Hospital, Alej Svobody 80, 306 00 Plzeň, Czech Republic; Faculty of Medicine, Charles University, Husova 3, 310 00 Plzeň, Czech Republic. Electronic address: zidek@fnplzen.cz.
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- $a Bludovský, David $u Department of Neurosurgery, University Hospital, Alej Svobody 80, 306 00 Plzeň, Czech Republic; Faculty of Medicine, Charles University, Husova 3, 310 00 Plzeň, Czech Republic.
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- $a Pouska, Jiří $u Faculty of Medicine, Charles University, Husova 3, 310 00 Plzeň, Czech Republic; Department of Anesthesiology and Intensive Care Medicine, University Hospital, Alej Svobody 80, 306 00 Plzeň, Czech Republic. Electronic address: pouskaj@fnplzen.cz.
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- $a Mautner, Pavel $u University of West Bohemia, Univerzitní 8, 306 14 Plzeň, Czech Republic. Electronic address: mautner@kiv.zcu.cz.
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- $a Přibáň, Vladimír $u Department of Neurosurgery, University Hospital, Alej Svobody 80, 306 00 Plzeň, Czech Republic; Faculty of Medicine, Charles University, Husova 3, 310 00 Plzeň, Czech Republic. Electronic address: pribanv@fnplzen.cz.
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