Chicago Medical School at Rosalind Franklin University of Medicine and Science, 3333 North Green Bay Road, North Chicago, IL 60064, USA.
Department of Neurology, Memory and Aging Center, Weill Institute for Neurosciences, University of California, San Francisco, 675 Nelson Rising Lane, Suite 190, San Francisco, CA 94158, USA.
Adv Anesth. 2024 Dec;42(1):27-40. doi: 10.1016/j.aan.2024.07.003. Epub 2024 Aug 28.
Postoperative cognitive recovery is deeply important to patients and perioperative clinicians. Despite decades of data on "postoperative cognitive decline" (POCD), a research diagnosis based on objective cognitive test performance, perspectives on subjective cognitive complaints (SCC) after modern surgery/anesthesia have not been systematically collected or studied despite their recent inclusion in the 2018 redefinition of "postoperative neurocognitive disorder." The authors describe the alignment between SCC anecdotes and the research diagnosis of POCD, contextualizing these findings using recent literature within and outside anesthesiology. This article prepares anesthesiologists to discuss what is, and is not, known about subjective cognitive recovery after surgery/anesthesia.
术后认知恢复对患者和围手术期临床医生至关重要。尽管数十年来一直有关于“术后认知功能减退”（POCD）的研究数据，即基于客观认知测试表现的研究诊断，但对现代手术/麻醉后主观认知主诉（SCC）的观点尚未得到系统收集或研究，尽管它们最近已被纳入 2018 年“术后神经认知障碍”的重新定义中。作者描述了 SCC 轶事与 POCD 研究诊断之间的一致性，并使用麻醉学内外的最新文献对这些发现进行了背景分析。本文使麻醉师能够讨论手术/麻醉后主观认知恢复的已知和未知情况。
