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Chapter 32 - Perioperative Cognitive Disorders

Published online by Cambridge University Press:  24 May 2023

By
Catherine Price ,
Sarah McCraney ,
Margaret E. Wiggins ,
Carlos Hernaiz Alonso ,
Catherine Dion ,
Franchesca Arias ,
Kristin Hamlet  and
Patrick Tighe
Edited by
Alan David Kaye  and
Richard D. Urman
Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
Richard D. Urman
Affiliation:
Brigham and Women’s Hospital, Boston
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Summary

Abnormal cognitive aging includes unexpected changes in cognition or memory functions. Changes can present either acutely or gradually. Within the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) by the American Psychiatric Association (APA) [1], abnormal cognitive profiles are divided into Mild Neurocognitive Disorder and Major Neurocognitive Disorder (also known as dementia).

Type
Chapter
Information
Cambridge Handbook of Anesthesiology , pp. 485 - 496
Publisher: Cambridge University Press
Print publication year: 2023

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References

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Washington, DC: American Psychiatric Publishing; 2013.Google Scholar
Petersen, RC, Smith, GE, Waring, SC, Ivnik, RJ, Tangalos, EG, Kokmen, E. Mild cognitive impairment: clinical characterization and outcome. Arch Neurol. 1999;56(3):303–8.CrossRefGoogle ScholarPubMed
Cottrell, JE, Hartung, J. Anesthesia and cognitive outcome in elderly patients: a narrative viewpoint. J Neurosurg Anesthesiol. 2020;32(1):9–17.CrossRefGoogle ScholarPubMed
Burton, DA, Nicholson, G, Hall, GM. Anaesthesia in elderly patients with neurodegenerative disorders: special considerations. Drugs Aging. 2004;21(4):229–42.CrossRefGoogle ScholarPubMed
He, W, Goodkind, D, Kowal, P; US Census Bureau. An Aging World: 2015. Washington, DC: US Government Publishing Office; 2016. Available from: www.census.gov/content/dam/Census/library/publications/2016/demo/p95-16-1.pdf.Google Scholar
Hebert, LE, Scherr, PA, Bienias, JL, Bennett, DA, Evans, DA. Alzheimer disease in the US population: prevalence estimates using the 2000 census. Arch Neurol. 2003;60(8):1119–22.Google Scholar
Williams, SN, Wolford, ML, Bercovitz, A. Hospitalization for total knee replacement among inpatients aged 45 and over: 2000–2010. NCHS Data Brief. 2015;210:1–8.Google Scholar
Oresanya, LB, Lyons, WL, Finlayson, E. Preoperative assessment of the older patient: a narrative review. JAMA. 2014;311(20):2110–20.CrossRefGoogle ScholarPubMed
Price, CC, Garvan, C, Hizel, L, Lopez, MG, Billings, FT. Delayed recall and working memory MMSE domains predict delirium following cardiac surgery. J Alzheimers Dis. 2017;59(3):1027–35.Google Scholar
Aminoff, MJ, Christine, CW, Friedman, JH, et al. Management of the hospitalized patient with Parkinson’s disease: current state of the field and need for guidelines. Parkinsonism Relat Disord. 2011;17(3):139–45.Google Scholar
Ala, TA, Simpson, G, Holland, MT, Tabassum, V, Deshpande, M, Fifer, A. Many caregivers of persons with memory loss or Alzheimer’s disease are unaware of the abilities of their persons with AD to recall their drugs and medical histories. Dementia (London). 2020;19(7):2354–67.Google ScholarPubMed
Pratico, C, Quattrone, D, Lucanto, T, et al. Drugs of anesthesia acting on central cholinergic system may cause post-operative cognitive dysfunction and delirium. Med Hypotheses. 2005;65(5):972–82.CrossRefGoogle ScholarPubMed
Whittington, RA, Planel, E, Terrando, N. Impaired resolution of inflammation in Alzheimer’s disease: a review. Front Immunol. 2017;8:1464.CrossRefGoogle Scholar
Baranov, D, Bickler, PE, Crosby, GJ, et al. Consensus statement: first international workshop on anesthetics and Alzheimer’s disease. Anesth Analg. 2009;108(5):1627–30.Google Scholar
Silbert, B, Evered, L, Scott, DA, Maruff, P. Anesthesiology must play a greater role in patients with Alzheimer’s disease. Anesth Analg. 2011;112(5):1242–5.Google Scholar
Bohnen, NI, Albin, RL. The cholinergic system and Parkinson disease. Behav Brain Res. 2011;221(2):564–73.Google Scholar
Giattino, CM, Gardner, JE, Sbahi, FM, et al. Intraoperative frontal alpha-band power correlates with preoperative neurocognitive function in older adults. Front Syst Neurosci. 2017;11:24.CrossRefGoogle ScholarPubMed
Hernaiz Alonso, C, Tanner, JJ, Wiggins, ME, et al. Proof of principle: preoperative cognitive reserve and brain integrity predicts intra-individual variability in processed EEG (Bispectral Index Monitor) during general anesthesia. PLoS One. 2019;14(5):e0216209.Google Scholar
Huang, H, Tanner, J, Parvataneni, H, et al. Impact of total knee arthroplasty with general anesthesia on brain networks: cognitive efficiency and ventricular volume predict functional connectivity decline in older adults. J Alzheimers Dis. 2018;62(1):319–33.Google Scholar
Browndyke, JN, Berger, M, Harshbarger, TB, et al. Resting-state functional connectivity and cognition after major cardiac surgery in older adults without preoperative cognitive impairment: preliminary findings. J Am Geriatr Soc. 2017;65(1):e6–12.CrossRefGoogle ScholarPubMed
Hardcastle, C, Huang, H, Crowley, S, et al. Mild cognitive impairment and decline in resting state functional connectivity after total knee arthroplasty with general anesthesia. J Alzheimers Dis. 2019;69(4):1003–18.Google Scholar
Price, CC, Levy, SA, Tanner, J, et al. Orthopedic surgery and post-operative cognitive decline in idiopathic Parkinson’s disease: considerations from a pilot study. J Parkinsons Dis. 2015;5(4):893–905.Google Scholar
Roberts, DP, Lewis, SJG. Considerations for general anaesthesia in Parkinson’s disease. J Clin Neurosci. 2018;48:34–41.Google Scholar
Vutskits, L, Xie, Z. Lasting impact of general anaesthesia on the brain: mechanisms and relevance. Nat Rev Neurosci. 2016;17(11):705–17.Google Scholar
Xie, Z, Culley, DJ, Dong, Y, et al. The common inhalation anesthetic isoflurane induces caspase activation and increases amyloid beta-protein level in vivo. Ann Neurol. 2008;64(6):618–27.CrossRefGoogle ScholarPubMed
Zhen, Y, Dong, Y, Wu, X, et al. Nitrous oxide plus isoflurane induces apoptosis and increases beta-amyloid protein levels. Anesthesiology. 2009;111(4):741–52.CrossRefGoogle ScholarPubMed
Dong, Y, Zhang, G, Zhang, B, et al. The common inhalational anesthetic sevoflurane induces apoptosis and increases beta-amyloid protein levels. Arch Neurol. 2009;66(5):620–31.Google Scholar
Le Freche, H, Brouillette, J, Fernandez-Gomez, FJ, et al. Tau phosphorylation and sevoflurane anesthesia: an association to postoperative cognitive impairment. Anesthesiology. 2012;116(4):779–87.Google Scholar
Whittington, RA, Virag, L, Gratuze, M, et al. Dexmedetomidine increases tau phosphorylation under normothermic conditions in vivo and in vitro. Neurobiol Aging. 2015;36(8):2414–28.CrossRefGoogle ScholarPubMed
Hanning, CD, Blokland, A, Johnson, M, Perry, EK. Effects of repeated anaesthesia on central cholinergic function in the rat cerebral cortex. Eur J Anaesthesiol. 2003;20(2):93–7.Google Scholar
Palotas, A, Reis, HJ, Bogats, G, et al. Coronary artery bypass surgery provokes Alzheimer’s disease-like changes in the cerebrospinal fluid. J Alzheimers Dis. 2010;21(4):1153–64.Google Scholar
Calon, F, Di Paolo, T. Levodopa response motor complications–GABA receptors and preproenkephalin expression in human brain. Parkinsonism Relat Disord. 2002;8(6):449–54.CrossRefGoogle ScholarPubMed
Raz, A, Eimerl, D, Zaidel, A, Bergman, H, Israel, Z. Propofol decreases neuronal population spiking activity in the subthalamic nucleus of Parkinsonian patients. Anesth Analg. 2010;111(5):1285–9.Google Scholar
Krauss, JK, Borremans, JJ, Nobbe, F, Mundinger, F. Ballism not related to vascular disease: a report of 16 patients and review of the literature. Parkinsonism Relat Disord. 1996;2(1):35–45.Google Scholar
Jamsen, E, Puolakka, T, Peltola, M, Eskelinen, A, Lehto, MU. Surgical outcomes of primary hip and knee replacements in patients with Parkinson’s disease: a nationwide registry-based case-controlled study. Bone Joint J. 2014;96-B(4):486–91.Google ScholarPubMed
Newman, JM, Sodhi, N, Dalton, SE, et al. Does Parkinson disease increase the risk of perioperative complications after total hip arthroplasty? A nationwide database study. J Arthroplasty. 2018;33(7S):S162–6.CrossRefGoogle ScholarPubMed
Arora, SS, Gooch, JL, Garcia, PS. Postoperative cognitive dysfunction, Alzheimer’s disease, and anesthesia. Int J Neurosci. 2014;124(4):236–42.Google Scholar
Calkins, MP. From research to application: supportive and therapeutic environments for people living with dementia. Gerontologist. 2018;58:S114–28.Google Scholar
Mohanty, S, Rosenthal, RA, Russell, MM, Neuman, MD, Ko, CY, Esnaola, NF. Optimal perioperative management of the geriatric patient: a best practices guideline from the American College of Surgeons NSQIP and the American Geriatrics Society. J Am Coll Surg. 2016;222(5):930–47.Google Scholar
Prizer, LP, Zimmerman, S. Progressive support for activities of daily living for persons living with dementia. Gerontologist. 2018;58:S74–87.Google Scholar
Arias, F, Bursian, AC, Sappenfield, JW, Price, CC. Delirium history and preoperative mild neurocognitive disorder: an opportunity for multidisciplinary patient-centered care. Am J Case Rep. 2018;19:1324–8.CrossRefGoogle ScholarPubMed
Crosby, G, Culley, DJ, Hyman, BT. Preoperative cognitive assessment of the elderly surgical patient: a call for action. Anesthesiology. 2011;114(6):1265–8.Google Scholar
Marcantonio, ER. Delirium in hospitalized older adults. N Engl J Med. 2017;377(15):1456–66.CrossRefGoogle ScholarPubMed
Satz, P. Brain reserve capacity on symptom onset after brain injury: a formulation and review of evidence for threshold theory. Neuropsychology. 1993;7(3):273–95.Google Scholar
Arias, F, Wiggins, M, Urman, RD, et al. Rapid in-person cognitive screening in the preoperative setting: test considerations and recommendations from the Society for Perioperative Assessment and Quality Improvement (SPAQI). J Clin Anesth. 2020;62:109724.Google Scholar
Wiggins, M, Arias, F, Urman, RD, et al. Common neurodegenerative disorders in the perioperative setting: recommendations for screening from the Society for Perioperative Assessment and Quality Improvement (SPAQI). Perioper Care Oper Room Manag. 2020;20:100092.Google Scholar
Block, CK, Johnson-Greene, D, Pliskin, N, Boake, C. Discriminating cognitive screening and cognitive testing from neuropsychological assessment: implications for professional practice. Clin Neuropsychol. 2017;31(3):487–500.Google Scholar
Amini, S, Crowley, S, Hizel, L, et al. Feasibility and rationale for incorporating frailty and cognitive screening protocols in a preoperative anesthesia clinic. Anesth Analg. 2019;129(3):830–8.Google Scholar
Culley, DJ, Flaherty, D, Reddy, S, et al. Preoperative cognitive stratification of older elective surgical patients: a cross-sectional study. Anesth Analg. 2016;123(1):186–92.Google Scholar
Borson, S, Scanlan, JM, Chen, P, Ganguli, M. The Mini‐Cog as a screen for dementia: validation in a population‐based sample. J Am Geriatr Soc. 2003;51(10):1451–4.Google Scholar
Folstein, MF, Robins, LN, Helzer, JE. The Mini-Mental State Examination. Arch Gen Psychiatry. 1983;40(7):812.Google Scholar
Libon, DJ, Malamut, BL, Swenson, R, Sands, LP, Cloud, BS. Further analyses of clock drawings among demented and nondemented older subjects. Arch Clin Neuropsychol. 1996;11(3):193–205.Google Scholar
Wiggins, ME, Hernaiz, C, Fahy, BD, Price, CC. Cognitive change and elective surgeries with anesthesia: considerations for neuropsychologists and the growing field of perioperative cognitive medicine. In: Libon, DJ, Lamar, M, Swenson, RA, Heilman, KM, eds. Vascular Disease, Alzheimer’s Disease, and Mild Cognitive Impairment: Advancing an Integrated Approach. New York, NY: Oxford University Press; 2020, pp. 433–57.Google Scholar
Hamlet, KM, Pasternak, E, Rabai, F, Mufti, M, Hernaiz Alonso, C, Price, CC. Perioperative multidisciplinary delirium prevention: a longitudinal case report. A A Pract. 2021;15(1):e01364.Google Scholar
Evered, L, Silbert, B, Knopman, DS, et al. Recommendations for the nomenclature of cognitive change associated with anaesthesia and surgery–20181. J Alzheimers Dis. 2018;66(1):1–10.Google Scholar

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