Cognitive dysfunction is the impairment of the mental process of perception, memory and information processing. The preoperative cognitive state is important, as mild cognitive impairment may be worsened following a cesarean section. Our study will aim to assess the incidence of early cognitive dysfunction after elective and emergent cesarean section under general anesthesia.
Mechanisms that lead to cognitive decline after anesthesia and surgery remain still unclear and mixed. Some studies suggested that an important role is played by the immune response to surgery. The inflammatory response could contribute to the development of postoperative cognitive decline (POCD0 through secretion of cortisol, cytokines, and other inflammatory mediators. Comparing the effects of general and spinal anesthesia on pregnant patients undergoing an elective cesarean section, found no cognitive change after both anesthesias. Our observational comparative study will be carried out at Beni Suef University Hospital. We will compare early cognitive functions undergoing general anesthesia in patients undergoing elective and emergency cesarean section.
Study Type
OBSERVATIONAL
Enrollment
58
The anesthesiologist will evaluate through his sheet women's cognitive functions.
Nesreen Abdel Fattah Abdullah Shehata
Cairo, Egypt
postoperative cognitive decline (POCD)
New impairment of memory directly post operative which will be assessed by psychometric questionnaire
Time frame: 3 hours postoperative
impaired performance on intellectual tasks
New impairment of using mind in daily tasks directly post operative which will be assessed through a questionnaire
Time frame: 3 days postoperative
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