PIA Overview:

Perioperative Cognition and Delirium

Executive Committee

Chair: Roderic Eckenhoff
Vice Chair: Emma Cunningham
Programs Chair: Miles Berger
Communications Chair: Sarinnapha (Fah) Vasunilashorn
Steering Committee Member: Haroon Burhanullah 
Steering Committee Member: Lis Evered
Steering Committee Member: Catherine Price
Steering Committee Member: Katie J. Schenning
Steering Committee Member: Niccolò Terrando
Immediate Past Chair: David Scott

There is considerable clinical evidence that the process of anesthesia and surgery independently causes cognitive decline, known as Perioperative Neurocognitive Disorders (PND) (previously known as Postoperative Cognitive Dysfunction (POCD)). This includes postoperative delirium and postoperative neurocognitive disorder (postoperative NCD).  We know that patients with even subtle impairment preoperatively are at increased risk of these disorders.  There is also a large body of laboratory evidence demonstrating an association between anesthetic agents and Alzheimer's disease neuropathology. An increasing number of elderly people are requiring surgery and anesthesia, many of whom will have, or be at risk of, Mild Cognitive Impairment (MCI) or Alzheimer's disease. This PIA seeks to encourage communication and collaboration and combine research expertise, to improve cognitive outcomes and informed choices following these increasingly common procedures in the elderly.


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