Impact of topical and local anesthesia on postoperative cognitive functions in geriatrics undergoing cataract surgery


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Kılıç Y., Bilgeç M. D., Sarıoğlan B. T., Erdoğan Kayhan G., Güleç M. S., Özer A.

Eskisehir Medical Journal, cilt.2, sa.2, ss.111-117, 2021 (Hakemli Dergi)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 2 Sayı: 2
  • Basım Tarihi: 2021
  • Doi Numarası: 10.48176/esmj.2021.25
  • Dergi Adı: Eskisehir Medical Journal
  • Derginin Tarandığı İndeksler: Other Indexes
  • Sayfa Sayıları: ss.111-117
  • Eskişehir Osmangazi Üniversitesi Adresli: Evet

Özet

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.