Effect of General Anesthesia on Early Postoperative Cognitive Dysfunction in Elective Versus Emergency Cesarean Section
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anesthesia Morbidity
- Sponsor
- Beni-Suef University
- Enrollment
- 58
- Locations
- 1
- Primary Endpoint
- postoperative cognitive decline (POCD)
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
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.
Detailed Description
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.
Investigators
Nesreen Abdel Fattah Abdullah Shehata
Assistant professor
Beni-Suef University
Eligibility Criteria
Inclusion Criteria
- •Women in reproductive age period between 25 and 35 years
- •Women booked for an elective or emergency cesarean section.
Exclusion Criteria
- •Mental disorder preoperative
- •Medical conditions ( as Hypertension or diabetes or cardiac diseases)
Outcomes
Primary Outcomes
postoperative cognitive decline (POCD)
Time Frame: 3 hours postoperative
New impairment of memory directly post operative which will be assessed by psychometric questionnaire
Secondary Outcomes
- impaired performance on intellectual tasks(3 days postoperative)