Akademik Veri Yönetim Sistemi
Eskisehir Medical Journal, cilt.2, sa.2, ss.111-117, 2021 (Hakemli Dergi)
Introduction: Postoperative cognitive dysfunction (POCD) has become a major concern for anesthesiologists and surgeons, particularly in elderlies who already have limited cognitive status. General anesthesia is a well known risk factor of this entity. However, there is insufficient data regarding the association between topical/local anesthesia and POCD. This study aimed to investigate the impact of topical and local anesthesia on the development of POCD in elderly patients undergoing cataract surgery. Methods: The patients above 65 years who underwent cataract surgery were enrolled in this study. All patients were assigned to one of two anesthesia groups; topical (n=16) and local (n=25). Cognitive status was assessed preoperatively and postoperatively (1th hour, 1th day, and 1th week), using Blessed Orientation-Memory-Concentration (BOMC) test. Results: The two anesthesia groups were similar in age, gender, American Society of Anesthesiologist score, educational status, and baseline hemodynamic values (p>0.05). All postanesthetic BOMC scores in local and topical groups decreased compared to preoperative BOMC scores. There were also no differences in all BOMC scores between the groups (p>0.05). Conclusion: Both topical and local anesthesia had no significant effect on the development of POCD in geriatric patients undergoing cataract surgery.