This book, written by leading Japanese experts in the field, describes the latest findings on the neurotoxicity of anesthetics for the developing brain, postoperative delirium and cognitive dysfunction.

It describes the risk factors for postoperative cognitive dysfunction in elderly surgical patients. Since the number of elderly patients undergoing surgery and anesthesia continues to increase, it is important to improve our understanding of the risks and mechanisms of postoperative delirium and cognitive dysfunction, potential ways to prevent or alleviate them and the public health implications.

Recently, it has been shown that using anesthetics on the developing brain causes apoptotic neurodegeneration and persistent learning/memory deficits later in life. Anesthesiologists need more information on this mechanism in the human brain.

The negative effects of anesthesia and surgery on the nervous system have attracted attention lately; this book provides physicians, researchers, and postdocs with invaluable information on this topic.

Autorentext
Department of Anesthesiology and Critical Care Medicine, Hokkaido University School of Medicine.

Inhalt

Part I Neurotoxicity of the Anesthetics for Developing Brain.- Chapter 1 Laboratory Findings: To What Degree Can We Extrapolate the Animal Data to the Bedside?.- Chapter 2 Clinical Findings Including Prevention and Treatment.- Chapter 3 Implications for Pediatric Anesthesia.- Part II Postoperative Delirium and Cognitive Dysfunction.- Chapter 4 Present Clinical Status of Postoperative Delirium (POD).- Chapter 5 Present Clinical Status of Postoperative Cognitive Dysfunction in Cardiovascular Surgery.- Chapter 6 Present Clinical Status of Postoperative Cognitive Dysfunction Following Non-Cardiac Surgery.- Chapter 7 Diagnosis of POD and POCD.- Chapter 8 Prevention and Treatment of Postoperative Delirium and Postoperative Cognitive Dysfunction.- Chapter 9 Mechanism of POD and POCD-Effect of Anesthetics.- Chapter 10 Mechanism of POCD and POCD-Effect of Other Than Anesthetics.