Peripheral inflammation as a potential mechanism and preventive strategy for perioperative neurocognitive disorder under general anesthesia and surgery

Front Cell Neurosci. 2024 Jul 3:18:1365448. doi: 10.3389/fncel.2024.1365448. eCollection 2024.

Abstract

General anesthesia, as a commonly used medical intervention, has been widely applied during surgical procedures to ensure rapid loss of consciousness and pain relief for patients. However, recent research suggests that general anesthesia may be associated with the occurrence of perioperative neurocognitive disorder (PND). PND is characterized by a decline in cognitive function after surgery, including impairments in attention, memory, learning, and executive functions. With the increasing trend of population aging, the burden of PND on patients and society's health and economy is becoming more evident. Currently, the clinical consensus tends to believe that peripheral inflammation is involved in the pathogenesis of PND, providing strong support for further investigating the mechanisms and prevention of PND.

Keywords: central nervous system; general anesthesia; perioperative neurocognitive disorder; peripheral inflammation; preventive strategies.

Publication types

  • Review

Grants and funding

The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This study was supported by the National Natural Science Foundation of China (No: 82160223), Scientific and Technological Innovation Talent Team Project of the Zun Yi City (No: [2022]2), Guizhou Provincial Higher Education Science and Technological Innovation Team (No: [2023]072), Natural Science Project of Guizhou Provincial Department of Science and Technology (No. Qiankehe-zk [2024] General 298).