Journal of Anesthesia,
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 4, 2024
Abstract
Purpose
Postoperative
delirium
(POD)
in
patients
with
obstructive
sleep
apnea
(OSA)
is
associated
increased
mortality
and
healthcare
costs.
In
this
study,
we
investigated
the
association
of
OSA
risk,
serum
biomarkers
for
central
nervous
ischemia
(S100B
NSE),
POD.
Methods
After
research
ethics
approval,
completed
STOP
BANG
assessment
before
undergoing
elective
surgery.
Blood
was
drawn
S100B
NSE
measurement,
cognitive
performance
tested
using
Montreal
Cognitive
Assessment
(MoCA)
at
study
admission
postoperatively
discharge.
Delirium
performed
Nursing
Screening
Scale
(NuDESC)
Confusion
Method
(CAM).
Results
One
hundred
twenty-four
enrolled
were
separated
into
three
OSA-risk
groups
based
on
score
testing
(low
n
=
22;
intermediate
67;
high
35).
Preoperative
values
risk
(NSE
ng/ml;
mean
[range];
low
risk:
15.6
[9.2–44.3];
21.8
[7.6–114.1];
29.2
[10.1–151];
p
0.039).
MoCA
NuDESC
assessments
not
different
between
groups.
We
found
a
decreasing
incidence
POD
increasing
(positive
CAM:
18.1%,
12.0%;
11.5%,
0.043).
However,
no
longer
detectable
complete
case
analysis.
POD,
postoperative
ischemic
biomarker
Conclusion
trend
which
robust
Our
results
possibly
support
phenomenon
hypoxic
preconditioning.
Frontiers in Physiology,
Год журнала:
2023,
Номер
14
Опубликована: Сен. 4, 2023
Hypobaric
hypoxia
(HH)
characteristics
induce
impaired
cognitive
function,
reduced
concentration,
and
memory.
In
recent
years,
an
increasing
number
of
people
have
migrated
to
high-altitude
areas
for
work
study.
Headache,
sleep
disturbance,
impairment
from
HH,
severely
challenges
the
physical
mental
health
affects
their
quality
life
efficiency.
This
review
summarizes
manifestations,
mechanisms,
preventive
therapeutic
methods
HH
environment
affecting
function
provides
theoretical
references
exploring
treating
high
altitude-induced
impairment.
The Journal of Physiology,
Год журнала:
2024,
Номер
unknown
Опубликована: Март 27, 2024
Abstract
Periodic
breathing
during
sleep
at
high
altitude
is
almost
universal
among
sojourners.
Here,
in
the
context
of
acclimatization
and
adaptation,
we
provide
a
contemporary
review
on
periodic
altitude,
explore
whether
this
an
adaptive
or
maladaptive
process.
The
mechanism(s),
prevalence
role
acclimatized
lowlanders
are
contrasted
with
available
data
from
adapted
indigenous
populations
(e.g.
Andean
Tibetan
highlanders).
It
concluded
that
(1)
persists
severity
proportional
to
sleeping
altitude;
(2)
does
not
seem
coalesce
poor
quality
such
that,
acclimatization,
there
appears
be
lengthening
cycle
length
minimal
impact
average
oxygen
saturation;
(3)
highlanders
appear
demonstrate
blunting
breathing,
compared
lowlanders,
comprising
feature
withstands
negative
influences
chronic
mountain
sickness.
These
observations
indicate
no
obvious
consequences;
however,
attenuated
adaptation
therefore
potentially
reflects
trait
environment.
image
Physiology & Behavior,
Год журнала:
2023,
Номер
274, С. 114409 - 114409
Опубликована: Ноя. 16, 2023
Both
sleep
deprivation
and
hypoxia
have
been
shown
to
impair
executive
function.
Conversely,
moderate
intensity
exercise
is
known
improve
In
a
multi-experiment
study,
we
tested
the
hypotheses
that
would
ameliorate
any
decline
in
function
after
i)
three
consecutive
nights
of
partial
(PSD)
(Experiment
1)
ii)
isolated
combined
effects
single
night
total
(TSD)
acute
2).
Using
rigorous
randomised
controlled
crossover
design,
12
healthy
participants
volunteered
each
experiment
(24
total,
5
females).
both
experiments
seven
(2-choice
reaction
time,
logical
relations,
manikin,
mathematical
processing,
1-back,
2-back,
3-back)
tasks
were
completed
at
rest
during
20-min
semi-recumbent,
cycling.
Tasks
following
conditions:
before
PSD
habitual
normoxia
(FIO2
=
0.12)
one
TSD
Although
on
functions
inconsistent,
(regardless
hypoxic
status)
reduced
functions.
Significantly,
regardless
or
status,
are
improved
an
bout
exercise.
These
novel
data
indicate
improves
performance
TSD,
status.
The
key
determinants
and/or
mechanism(s)
responsible
for
this
improvement
still
need
be
elucidated.
Future
work
should
seek
identify
these
mechanisms
translate
significant
findings
into
occupational
skilled
settings.
Sports Psychiatry,
Год журнала:
2024,
Номер
3(4), С. 197 - 208
Опубликована: Ноя. 1, 2024
Abstract:
Introduction:
The
human
brain
is
a
highly
oxygen-dependent
organ.
Low
environmental
oxygen
availability
(e.g.,
hypobaric
hypoxia
at
altitude)
major
challenge
to
the
and
numerous
endogenous
cellular
systemic
responses
therefore
are
in
place
mitigate
hypoxic
stress.
When
dose
of
stress
surpasses
adaptive
capabilities
brain,
cerebral
forms
high-altitude
illnesses
can
develop,
prevalence
which
increases
with
altitude.
Hypoxia
also
trigger
psychotic
symptoms.
Despite
that,
effects
altitude
exposures
on
people
pre-existing
mental
disorders
surprisingly
scarcely
investigated.
Methods:
In
this
narrative
review
we
summarize
literature
brain’s
put
them
context
somatic
consequences
exposure
from
an
interdisciplinary
perspective.
Results:
We
identify
knowledge
gaps
high
clinical
relevance
related
safety
exposures,
particularly
for
individuals
disorders.
Conclusions:
Taken
together,
research
into
vulnerability
neuropsychiatric
risk
developing
symptoms
different
populations
(diseased,
healthy,
athletes)
urgently
needed
provide
appropriate
evidence-based
counselling
treatment.