Peri‐operative management of patients with Parkinson’s disease

Abstract

Patients with Parkinson's disease are at higher risk of peri-operative medical and surgical complications. Multidisciplinary management, early recognition of potential complications, specialised care of medications and intra-operative protection of the vulnerable brain are all important aspects of the peri-operative management of patients with Parkinson's disease. Advances in continuous dopaminergic treatment, development of a peri-operative Parkinson's disease pathway and application of telemedicine are starting to play a role in improving peri-operative care. Management of patients with advanced Parkinson's disease is also evolving, with potential for incorporation of integrated care and changes in the anaesthetic management for deep brain stimulation surgery. There are new methods for localisation of target nuclei and increasing insight on the effects of anaesthetic drugs on microelectrode recordings and clinical outcomes. Parkinson's disease is a progressive disease, but management is improving with better perioperative care for patients.

Magnetic Hyperthermia Therapy for High-Grade Glioma: A State-of-the-Art Review

“…This challenge of facilitating such cross-talk is not exclusive to MHT—prior work in other medical specialties has demonstrated the importance of integrating the efforts of researchers and clinicians, who frequently function independently. One example is deep brain stimulation (DBS), a technique in the rapidly evolving subfield of functional neurosurgery that integrates aspects of neurology, psychiatry, neuroscience, and electrical engineering [ 124 , 125 ]. DBS has an established organizational framework for multidisciplinary communication that enables independent regional groups of experts in the aforementioned disciplines to communicate regularly and stay abreast of recent updates [ 126 , 127 ].…”

Association between Anesthesia Management and Preoperative Magnetic Resonance Image Quality in Patients Scheduled for Deep Brain Stimulation Surgery

“…In our study, it was observed that the most commonly preferred drugs for sedation management were propofol and midazolam. Although propofol has been reported to trigger dyskinesia (13), it can still be used in patients with movement disorders (14) and is one of the frequently preferred agents for sedation in MR imaging units (15). The use of dexmedetomidine has been reported for preventing the dyskinesia triggered by propofol (13).…”

Anesthetic Considerations for Cataract Surgery in Patients with Parkinson’s Disease: A Narrative Review

“…Pre-operative considerations broadly encompass system evaluation, operative scheduling, and medication scheduling (21). Patients with PD may have other associated comorbidities and poor general health; therefore, a system evaluation during the pre-operative assessment is also essential.…”