دورية أكاديمية
Influence of general anesthesia for tonsillotomy and adenotomy to cognitive functions in children ; Влияние общей анестезии при аденотомии и тонзиллотомии на когнитивные функции у детей
| العنوان: | Influence of general anesthesia for tonsillotomy and adenotomy to cognitive functions in children ; Влияние общей анестезии при аденотомии и тонзиллотомии на когнитивные функции у детей |
|---|---|
| المؤلفون: | Zolotareva L.S., Paponov O.N., Stepanenko S.M., Silina E.V., Adler A.V. |
| المصدر: | Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care; Vol 10, No 2 (2020); 173-182 ; Российский вестник детской хирургии, анестезиологии и реаниматологии; Vol 10, No 2 (2020); 173-182 ; 2587-6554 ; 2219-4061 ; 10.17816/psaic.20202 |
| بيانات النشر: | Eco-Vector |
| سنة النشر: | 2021 |
| المجموعة: | Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care / Российский вестник детской хирургии, анестезиологии и реаниматологии |
| مصطلحات موضوعية: | pediatric surgery, pediatric anesthesia, anesthetics, anesthesia neurotoxicity, cognitive outcomes, postoperative cognitive dysfunction, детская хирургия, анестезия у детей, анестетики, нейротоксичность анестетиков, когнитивные исходы, послеоперационная когнитивная дисфункция |
| الوصف: | Background. Surgery under general anesthesia can affect the patients neurocognitive outcome. This problem is of particular relevance in pediatric surgical practice. Goal. The aim of this study is to determine the spectrum of clinical manifestations and the frequency of cognitive dysfunction symptom development in children after adenotomy and/or tonsillotomy performed under general anesthesia. Methods. This prospective study included 30 children aged 3 7 years (average age 4.9 1.3 years) who underwent adenotomy and/or tonsillotomy under general, combined, balanced anesthesia. In the preoperative period and a day after the operation, neuropsychological testing was performed: The Raven test, mechanical and associative memory test, Mini-Mental State Examination (MMSE) scale adapted for children from 3 years old, and the Bourdon test. A 20% decrease in function compared with the initial level was considered clinically significant. Results. One day after surgery, 10% of patients had a clinically significant decrease in attention productivity, 10% had a decrease in attention accuracy, 13.3% had a decrease in attention index, and 16.7% had a decrease in overall productivity and the attention index according to the Bourdon test. Also, 13.3% showed a decrease in attention, 30% had a decrease in memory on the MMSE scale, 20% showed a decrease in mechanical memory, and 10% had a decrease in test results on the Raven test. Conclusion. Conducting even minor surgical interventions with general anesthesia leads to an impairment of various cognitive functions in 10% of children aged 3 to 7 years. ; Введение. Выполненные в условиях общей анестезии хирургические вмешательства могут отрицательно влиять на нейрокогнитивные функции пациента. Особую актуальность данная проблема имеет в педиатрической хирургической практике. Цель. Определить характер и частоту развития симптомов когнитивной дисфункции у детей после адено- и/или тонзиллотомии, проведенных в условиях общей анестезии. Методы. В проспективное исследование включены 30 детей ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | Russian |
| العلاقة: | https://rps-journal.ru/jour/article/view/564/pdfTest; https://rps-journal.ru/jour/article/view/564Test |
| DOI: | 10.17816/psaic564 |
| الإتاحة: | https://doi.org/10.17816/psaic564Test https://doi.org/10.17816/psaic.20202Test https://rps-journal.ru/jour/article/view/564Test |
| حقوق: | Copyright (c) 2021 Zolotareva L.S., Paponov O.N., Stepanenko S.M., Silina E.V., Adler A.V. ; https://creativecommons.org/licenses/by-nc-nd/4.0Test |
| رقم الانضمام: | edsbas.42A2E70E |
| قاعدة البيانات: | BASE |
| DOI: | 10.17816/psaic564 |
|---|