Evidence mapPaperPMID 40668243Full record

ReviewJournal of anesthesia2025

Effects of volatile and intravenous anesthetics on postoperative cognitive dysfunction: a mechanistic review.

Rong Luo, Miaoling Qiu, Wenwei Wu

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of anesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Rong LuoDepartment of Anesthesiology, Meizhou People's Hospital, Meizhou, 514021, Guangdong, China.
Miaoling QiuDepartment of Anesthesiology, Meizhou People's Hospital, Meizhou, 514021, Guangdong, China.
Wenwei WuDepartment of Anesthesiology, Meizhou People's Hospital, Meizhou, 514021, Guangdong, China. lvmqgiiw@hotmail.com.ORCID http://orcid.org/0009-0006-3013-6090

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postoperative cognitive dysfunction (POCD) is a common neurological complication after surgery, with a higher incidence in elderly patients, significantly affecting postoperative recovery and quality of life. This article reviewed the potential mechanisms by which volatile and intravenous anesthetics affected POCD. We discussed mechanisms such as neuroinflammation, oxidative stress, region-specific brain alterations, neurotransmitter imbalances, and synaptic dysfunction, with an analysis of the distinct regulatory effects of both volatile and intravenous anesthetics. By comparing the roles of volatile and intravenous anesthetics, this review investigated the potential of personalized anesthesia strategies to improve cognitive function. Additionally, this review highlighted the use of multi-omics approaches, neuroimaging technologies, and artificial intelligence in POCD research, identified limitations, and promoted further investigation. By clarifying the mechanisms of anesthetic drugs, this review provided a scientific basis for clinical personalized anesthesia decision-making and laid the theoretical foundation for POCD intervention strategies.

Indexed as

Anesthetics, InhalationAnesthetics, IntravenousPostoperative Cognitive ComplicationsBrainHumansAnesthetics, InhalationAnesthetics, IntravenousIntravenous anestheticsNeuroinflammationOxidative stressPostoperative cognitive dysfunctionVolatile anesthetics

Identifiers

PMID40668243

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.