Parkinson's disease and anaesthesia
Nicholson G, Pereira AC, Hall GM.
Department of Anaesthesia and Intensive Care Medicine,
St George's Hospital Medical School,
London SW17 0RE, UK.
Br J Anaesth. 2002 Dec;89(6):904-16.
ABSTRACTParkinson's disease is an increasingly common disease of elderly patients who present a particular anaesthetic challenge. This review explores the epidemiology, aetiology, pathogenesis, and pathophysiology of the condition, particularly the possible role of genetic factors. The clinical features are described in detail and recent advances in medical management are highlighted. Controversies surrounding the use of the newer drugs and possible advances in neurosurgical interventions are discussed. Particular anaesthetic problems in patients with Parkinson's disease are respiratory, cardiovascular, and neurological. Potential drug interactions are described and recommendations are made about suitable anaesthetic techniques.People
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