Neuroprotective Strategies in the Perioperative Period: A Systematic Review

authors:

avatar Saeid Safari ORCID 1 , * , avatar Alireza Zali ORCID 2 , avatar Pourya Pezeshgi 3 , avatar Ehsan Bastanhagh ORCID 4 , avatar Alireza Jahangirifard ORCID 5 , avatar Meisam Akhlaghdoust ORCID 6

1. Functional Neurosurgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2. Functional Neurosurgery Research Center, Universal Scientific Education and Research Network (USERN), Tehran, Iran
Functional Neurosurgery Research Center, Shohada Tajrish Comprehensive Neurosurgical Center of Excellence, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Student Research Committee, Maragheh University of Medical Sciences, Maragheh, Iran
Department of Anesthesiology and Critical Care, Tehran University of Medical Sciences, Tehran, Iran
Chronic Respiratory Disease Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
1. Functional Neurosurgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran, 2. Functional Neurosurgery Research Center, Universal Scientific Education and Research Network (USERN), Tehran, Iran

how to cite: Safari S, Zali A, Pezeshgi P, Bastanhagh E, Jahangirifard A, et al. Neuroprotective Strategies in the Perioperative Period: A Systematic Review. J Cell Mol Anesth. 2021;6(1):e149666. https://doi.org/10.22037/jcma.v6i1.33072.

Abstract

Surgery and anesthetics may cause brain damage, and the resulting neurological defect can impair the patient's cognitive function. This disorder is one of the most common complications after surgery and causes disorders in several cognitive areas of the patient. The mechanism of this disorder is not fully understood, but Neuronal inflammation is one of the main causes of this disorder. The purpose of this systematic review study was to evaluate neuroprotective drug strategies for the treatment or prevention of surgical disorders associated with anesthesia. We searched the keywords "neuroprotective", "neuroprotection", "postoperative" and "perioperative" in the databases of web of science, Scopus, PubMed, science direct and Google Scholar with a 5-year time limit. At first, 492 articles were obtained and finally, after detailed survey based on exclusion and inclusion criteria, 31 studies were selected to extract data. Findings from studies show that medication and treatment strategies used in group of mice and rats under surgery with treatment can improve Neuronal inflammation and brain damage compared to mice and rats with surgery only and reduce the side effects of surgery and anesthetics.