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Published on: June 4, 2020
Piracetam improves children's memory after general anaesthesia
1Kharkiv National Medical University, Kharkiv, Ukraine. vfesenko@yahoo.com
Insights
General anesthesia impacts children's memory, particularly long-term recall. Piracetam effectively prevents postoperative cognitive dysfunction in children after anesthesia.
Area of Science:
- Pediatric Anesthesiology
- Neuroscience
- Pharmacology
Background:
- Postoperative complications, including cognitive impairment, can arise from surgery and anesthesia.
- General anesthetics may negatively affect cognitive functions in children.
- Assessing the impact of anesthesia on pediatric memory is crucial.
Purpose of the Study:
- To evaluate the influence of general anesthetics on children's memory.
- To determine the effectiveness of piracetam in preventing postoperative cognitive dysfunction.
Main Methods:
- 123 children received intravenous piracetam (30 mg/kg), while 127 received a placebo post-surgery.
- Cognitive functions were assessed preoperatively and for 10 days post-surgery.
- The ten-word memory test was used to evaluate memory function.
Main Results:
- All anesthetized children experienced declines in memory indexes.
- Long-term memory was the most significantly affected cognitive function.
- Piracetam administration led to improvements in memory function.
Conclusions:
- General anesthesia demonstrably affects memory function in pediatric patients.
- Piracetam is an effective agent for preventing anesthesia-related cognitive dysfunction in children.
Background:
Surgery and anaesthesia may account for postoperative complications including cognitive impairment. The purpose of the study was to assess the influence of general anaesthetics on children's memory and effectiveness of piracetam for prevention of postoperative cognitive dysfunction.
Methods:
The study included patients receiving different kinds of anaesthesia for various surgical procedures, randomly allocated to two groups. According to immediate postoperative treatment, the study group received intravenous piracetam 30 mg kg(-1) and the control group--placebo. The cognitive functions were examined preoperatively and within 10 consecutive postoperative days using the ten-word memory test.
Results:
The study group consisted of 123 children, the control one--of 127. Declines in memory indexes were observed in all anaesthetized patients. The most injured function was long-term memory. The intravenous administration of piracetam improved this cognitive function.
Conclusions:
The study results confirm that general anaesthesia affects the memory function in children. Piracetam is effective for prevention of postoperative cognitive dysfunction after anaesthesia.
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