title: [Prevention of cognitive disorders in postoperative period after carotid endarterectomy].
abstract: 238 patients with atherosclerosis of carotid arteries after reconstructive operations under different types of anesthesia were enrolled in the study. Neuropsychological survey with Montreal cognitive assessment scale, frontal assessment battery and clock drawing test was performed in dynamics. Minimal cognitive dysfunction was mentioned in patients with symptomatic and asymptomatic stenosis after combined anesthesia with regional anesthesia. Postoperative cognitive dysfunction was developed after sevoflurane and propofol anesthesia in patients with asymptomatic stenosis. After inhalation anesthesia it was more severe. Prevention of postoperative cognitive dysfunction with ceraxon was clinically effective. This therapy can facilitate mental functions recovery and improve quality of life.
authors: V V
authors: VV
authors: Shmelev
authors: M I
authors: MI
authors: Neĭmark
mesh_terms: D018685:Anesthetics, Inhalation / Q000008:administration & dosage / Q000009:adverse effects; D018686:Anesthetics, Intravenous / Q000008:administration & dosage / Q000009:adverse effects; D016893:Carotid Stenosis / Q000523:psychology / Q000601:surgery*; D003072:Cognition Disorders / Q000139:chemically induced / Q000517:prevention & control*; D003566:Cytidine Diphosphate Choline / Q000008:administration & dosage / Q000627:therapeutic use; D016894:Endarterectomy, Carotid / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008738:Methyl Ethers / Q000008:administration & dosage / Q000009:adverse effects; D009407:Nerve Block / Q000379:methods; D018697:Nootropic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D011183:Postoperative Complications / Q000139:chemically induced / Q000517:prevention & control*; D015742:Propofol / Q000008:administration & dosage / Q000009:adverse effects; D000077149:Sevoflurane; D016896:Treatment Outcome
chemical_list: D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D008738:Methyl Ethers; D018697:Nootropic Agents; D000077149:Sevoflurane; D003566:Cytidine Diphosphate Choline; D015742:Propofol