Evaluating memory dysfunction after spinal anesthesia among patients undergoing elective surgery:
Sepideh Vahabi1, Arash Karimi1, Siavash Beiranvand1
1Department of Anesthesiology, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
Spinal anesthesia significantly impacts memory functions, including logical and overall memory, in patients undergoing surgery. Age and blood pressure were also found to be associated with memory performance post-procedure.
Area of Science:
- Anesthesiology
- Neuroscience
- Cognitive Science
Background:
- Postoperative cognitive impairment is a known side effect of anesthesia.
- General anesthesia is commonly linked to cognitive deficits after surgery.
Purpose of the Study:
- To evaluate the impact of Marcaine (bupivacaine hydrochloride) on memory impairment in patients undergoing elective surgery.
- To assess the effects of spinal anesthesia on cognitive functions, specifically memory.
Main Methods:
- A descriptive-analytical study included 105 patients undergoing elective lower extremity or lower abdomen surgery under spinal anesthesia.
- Memory was assessed using the Wechsler questionnaire 24 hours post-surgery.
- Demographic data, vital signs, and surgical details were recorded and analyzed using SPSSv18.
Main Results:
- Significant differences were observed in logical memory and overall memory scores (P < 0.001).
- Rational memory correlated with systolic blood pressure (P = 0.030).
- Associative learning was linked to systolic blood pressure (P = 0.046) and surgery type (P = 0.013), while overall memory related to age (P = 0.041).
Conclusions:
- Spinal anesthesia significantly affects specific aspects of memory.
- Further research is recommended to confirm and expand upon these findings regarding anesthesia and memory.
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