Perioperative CNS dysfunction

Abstract

Mild postoperative CNS impairment should be regarded as natural unavoidable consequence of general anesthesia.

This study focused on anesthetic and surgical causes of perioperative CNS dysfunction.

The various anesthetic agents including premedications, intravenous anesthetics, inhalational anesthetics and opioids have different effect on the CNS and the outcome of the patient. Surgical causes are accused in this dysfunction also.

The study discussed also the abnormal psychological recovery and the role of anesthesiologist and anesthesia in the preoperative, operative and postoperative periods, as the postoperative personality changes are difficult to be evaluated because of the several emotion changing interventions in the perioperative period.

The discussion also focused on the abnormal neurological recovery discussing postoperative coma, confusion and seizures.

An important item of this study is the discussion of the clinical evaluation of CNS dysfunction. As the anesthesiologist may be directly involved in the •diagnosis of a disease, although more commonly they become involved in the assessment of the dynamic progression of previously diagnosed neuropathy.