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Editorial
. 2022 Aug;129(2):147-150.
doi: 10.1016/j.bja.2022.05.004. Epub 2022 Jun 17.

Breaking barriers in postoperative delirium

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Free article
Editorial

Breaking barriers in postoperative delirium

Niccolò Terrando et al. Br J Anaesth. 2022 Aug.
Free article

Abstract

Systemic perturbations such as peripheral surgical trauma induce neurovascular, inflammatory, and cognitive changes. The blood-brain barrier is a key interface between the periphery and the central nervous system, and is critically involved in regulating neuroimmune interactions to maintain overall homeostasis. Mounting evidence suggests that blood-brain barrier dysfunction is a hallmark of ageing and multiple neurological conditions including Alzheimer's disease. We discuss a recent study published in the British Journal of Anaesthesia that describes blood-brain barrier changes and neuroinflammation in patients with postoperative delirium after non-intracranial surgery.

Keywords: biomarker; blood–brain barrier; cerebrospinal fluid; delirium; fibrinogen; neuroinflammation.

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