Abstract:Objective: To explore the relationship of postoperative cognitive dysfunction (POCD) in one-lung ventilation (OLV) patients and regional cerebral oxygen saturation (rSO 2 ). Methods: Twenty-nine male and twenty-one female cases of OLV received thoracic surgery, with American Standards Association (ASA) physical status being at Grades I-III. Neuropsychological tests were performed on the day before operation and 7 d after operation, and there was an intraoperative continuous monitoring of rSO 2 . The values of rSO 2 before anesthesia induction (t 1 ), at the beginning of OLV (t 2 ), and at the time of OLV 30 min (t 3 ), OLV 60 min (t 4 ), the end of OLV (t 5 ), and the end of surgery (t 6 ) were recorded. The intraoperative average of rSO 2 ( 2 rSO ), the intraoperative minimum value of rSO 2 (rSO 2, min ), and the reduced maximum percentage of rSO 2 (rSO 2, %max ) when compared with the baseline value were calculated. The volume of blood loss, urine output, and the amount of fluid infusion was recorded. Results: A total of 14 patients (28%) in the 50 cases suffered from POCD. The values of mini-mental state examination (MMSE), the digit span and the digit symbol on the 7th day after the operation for POCD in OLV patients were found to be significantly lower than those before the operation (P<0.05). The values of MMSE and vocabulary fluency scores were significantly lower than those in the non-POCD group (P<0.05). The values of rSO 2 in the POCD group of OLV patients at t 2 and t 3 and the values of rSO 2 in the non-POCD group at t 2 were found to be significantly higher than those at t 1 (P<0.05). The values of rSO 2, %max in the POCD group were significantly higher than those in the non-POCD group (P<0.05). When the value of rSO 2, %max is more than 10.1%, it may act as an early warning index for cognitive function changes. Conclusions: POCD after OLV may be associated with a decline in rSO 2 .