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首页> 外文期刊>Current opinion in anaesthesiology >Ambulatory anaesthesia and cognitive dysfunction
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Ambulatory anaesthesia and cognitive dysfunction

机译：动态麻醉和认知功能障碍

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Purpose of reviewMore surgical procedures are performed on an ambulatory basis and the advantages are apparent, but outpatient surgery presents challenges because of the expectation of a fast recovery soon after termination of anaesthesia. Ambulatory surgery is a well tolerated regimen with few serious adverse outcomes, hence difficult to obtain sound scientific evidence for avoiding complications.Recent findingsFew studies have assessed recovery of cognitive function after ambulatory surgery, but it seems that both propofol and modern volatile anaesthetics are rational choices for general anaesthesia in the outpatient setting. Cognitive complications such as delirium and postoperative cognitive dysfunction are less frequent in ambulatory surgery than with hospitalization.SummaryThe elderly are especially susceptible to adverse effects of the hospital environment such as immobilisation, sleep deprivation, unfamiliar surroundings, and medication errors. Enhanced recovery programmes (fast-track regimens) may allow earlier discharge which is probably beneficial for the elderly. Frailty is becoming an increasingly important concept that needs to be clinically considered in elderly patients, as well as in future studies.
机译：复习的目的更多的外科手术是在非卧床基础上进行的，其优势显而易见，但由于期望在麻醉终止后能很快恢复，因此门诊手术面临挑战。门诊手术是一种耐受性良好的方案，几乎没有严重的不良后果，因此很难获得避免并发症的可靠科学证据。在门诊环境中进行全身麻醉。非卧床手术中发生complications妄和术后认知功能障碍等认知并发症的频率要低于住院治疗。增强的恢复计划（快速治疗方案）可以允许早日出院，这可能对老年人有利。衰弱正在成为一个越来越重要的概念，在老年患者以及未来的研究中都需要在临床上加以考虑。

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