Brain Prehabilitation for Oncologic Surgery.
Neil DakslaVictoria NguyenZhaosheng JinSergio D BergesePublished in: Current oncology reports (2022)
Current recommendations for prevention of postoperative delirium have focused on multicomponent interventions. The optimal composition of surgical prehabilitation programs targeting exercise and nutrition has not yet been established. The Neurobics Trial shows that cognitive prehabilitation improves cognitive reserve and may be a useful addition to multimodal surgical prehabilitation. Perioperative management of oncologic patients is often associated with a myriad of challenges, such as the management of tumor-related pathologies, adverse events from neoadjuvant therapy, and chronic metabolic and immunological changes associated with malignancy. In addition, oncologic patients are at increased risk of developing frailty, which adversely affects postoperative recovery and further cancer treatment. As a result, oncologic patients are at considerable risk of developing postoperative cognitive complications, such as delirium and cognitive dysfunction. In this review, we discuss the effect of prehabilitation on postoperative cognitive outcomes.
Keyphrases
- subarachnoid hemorrhage
- brain injury
- end stage renal disease
- patients undergoing
- newly diagnosed
- ejection fraction
- chronic kidney disease
- rectal cancer
- peritoneal dialysis
- prognostic factors
- physical activity
- cardiac surgery
- minimally invasive
- type diabetes
- public health
- mesenchymal stem cells
- squamous cell carcinoma
- radical prostatectomy
- lymph node
- robot assisted
- radiation therapy
- acute kidney injury
- randomized controlled trial
- risk factors
- weight loss
- chronic pain
- pain management
- percutaneous coronary intervention
- patient reported
- phase iii
- surgical site infection