Characterization of the Postoperative Cognitive Sphere of Octagenary Patients Under Regional or General Anesthesia
Alejandro Valdés Torres,
Shemanet García Cid,
María Elena de la Paz Granado,
Yulaimy Corrales Zamora,
Niury Sunderland Tallon
Issue:
Volume 10, Issue 1, June 2022
Pages:
1-6
Received:
16 November 2021
Accepted:
14 December 2021
Published:
12 January 2022
DOI:
10.11648/j.ass.20221001.11
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Abstract: Postoperative delirium is defined as an acute alteration of consciousness with signs of inattention, disorientation and memory disturbances that fluctuate over time. More and more octogenarian patients cared for in the Anesthesiology and Resuscitation service of the Morón Hospital are undergoing surgical interventions of various kinds, having to use various anesthetic techniques depending on the intervention to be performed. The objective was to characterize the postoperative cognitive sphere of octogenarian patients under regional or general anesthesia treated at the Anesthesiology and Resuscitation service of the Morón Provincial General Teaching Hospital. A prospective longitudinal descriptive observational study was carried out. The study universe was made up of 55 octogenarian patients treated in the Surgical Unit; the sample was selected through an intentional non-probabilistic sampling, being made up of 30 octogenarian patients undergoing hip fracture surgery, which represents 54.5%. It showed that: Both anesthetic techniques showed similarities in terms of the modification of the cognitive state of octogenarian patients, but general orotracheal anesthesia had more influence in the cognitive sphere, especially due to anterograde amnesia caused by benzodiazepines. Hyperaxic delirium was the most common in both groups. He reached the conclusions: There is no difference as to which anesthetic technique has the most influence on the postoperative cognitive sphere of the octogenarian patient.
Abstract: Postoperative delirium is defined as an acute alteration of consciousness with signs of inattention, disorientation and memory disturbances that fluctuate over time. More and more octogenarian patients cared for in the Anesthesiology and Resuscitation service of the Morón Hospital are undergoing surgical interventions of various kinds, having to us...
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Trigeminal Neuralgia: A Review of the Clinical Features, Diagnosis and Management
Emma Carr,
Peter Walker,
Joanna Morrison
Issue:
Volume 10, Issue 1, June 2022
Pages:
7-12
Received:
3 May 2022
Accepted:
18 May 2022
Published:
13 July 2022
DOI:
10.11648/j.ass.20221001.12
Downloads:
Views:
Abstract: Trigeminal Neuralgia has been described by the American Association of Neurological Surgeons as ‘one of the most excruciating pains known to humanity’. It can have a severe and detrimental effect on the patient’s quality of life, and many feel that they cannot perform simple daily tasks or worse still consider a future, whilst suffering this intolerable pain. As Trigeminal Neuralgia has a tendency to mimic pain of dental origin, patients may therefore first seek dental advice and treatment with the hope of gaining some immediate relief of their symptoms. This article discusses a recent case of Trigeminal Neuralgia, which had a delayed diagnosis. It discusses both the immediate management of an acute episode, and subsequent pharmacological treatment using Carbamazepine. Within this paper we also consider the psychological impact this condition has on a patient’s wellbeing and quality of life. We also outline how patients can receive additional support and guidance. This article aims to give dental practitioners and health care professionals an overview of the commonly presenting clinical features, diagnosis, and management of Trigeminal Neuralgia whilst discussing a recent case the authors managed within the dental setting. It also considers the crucial role dentists, in particular, general dental practitioners, can have in the initial management and subsequent onward referral.
Abstract: Trigeminal Neuralgia has been described by the American Association of Neurological Surgeons as ‘one of the most excruciating pains known to humanity’. It can have a severe and detrimental effect on the patient’s quality of life, and many feel that they cannot perform simple daily tasks or worse still consider a future, whilst suffering this intole...
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