Anesthesia Morbidity, Cesarean Section Complications
Conditions
Keywords
Cognitive function postoperative
Brief summary
Cognitive dysfunction is the impairment of the mental process of perception, memory and information processing. The preoperative cognitive state is important, as mild cognitive impairment may be worsened following a cesarean section. Our study will aim to assess the incidence of early cognitive dysfunction after elective and emergent cesarean section under general anesthesia.
Detailed description
Mechanisms that lead to cognitive decline after anesthesia and surgery remain still unclear and mixed. Some studies suggested that an important role is played by the immune response to surgery. The inflammatory response could contribute to the development of postoperative cognitive decline (POCD0 through secretion of cortisol, cytokines, and other inflammatory mediators. Comparing the effects of general and spinal anesthesia on pregnant patients undergoing an elective cesarean section, found no cognitive change after both anesthesias. Our observational comparative study will be carried out at Beni Suef University Hospital. We will compare early cognitive functions undergoing general anesthesia in patients undergoing elective and emergency cesarean section.
Interventions
OTHERAssessment document
The anesthesiologist will evaluate through his sheet women's cognitive functions.
Sponsors
Beni-Suef University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
25 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
* Women in reproductive age period between 25 and 35 years * Women booked for an elective or emergency cesarean section.
Exclusion criteria
* Mental disorder preoperative * Medical conditions ( as Hypertension or diabetes or cardiac diseases)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative cognitive decline (POCD) | 3 hours postoperative | New impairment of memory directly post operative which will be assessed by psychometric questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| impaired performance on intellectual tasks | 3 days postoperative | New impairment of using mind in daily tasks directly post operative which will be assessed through a questionnaire |
Countries
Egypt
Outcome results
None listed