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Can an elderly patient get permanent confusion after anaesthetic?

According to the American Society of Anesthesiologists, post-operative delirium is a common complication after surgery for people over 65, affecting up to 45% of older patients. This raises a critical question for many families: **Can an elderly patient get permanent confusion after anaesthetic?** While temporary confusion is common, lasting cognitive decline, known as Postoperative Cognitive Dysfunction (POCD), is also a recognized risk.