Breaking barriers in postoperative delirium
- PMID: 35718561
- DOI: 10.1016/j.bja.2022.05.004
Breaking barriers in postoperative delirium
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.
Copyright © 2022 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.
Comment on
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Postoperative delirium and changes in the blood-brain barrier, neuroinflammation, and cerebrospinal fluid lactate: a prospective cohort study.Br J Anaesth. 2022 Aug;129(2):219-230. doi: 10.1016/j.bja.2022.01.005. Epub 2022 Feb 8. Br J Anaesth. 2022. PMID: 35144802 Free PMC article.
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