Perioperative management of Parkinson's disease

被引：9
|
作者：
Akbar, Umer [1 ]
Kurkchubasche, Arlet G. [2 ]
Friedman, Joseph H. [3 ]
机构：
[1] Brown Univ, Rhode Isl Hosp, Dept Neurol, Providence, RI 02903 USA
[2] Brown Univ, Hasbro Childrens Hosp, Dept Surg & Pediat, Providence, RI 02912 USA
[3] Brown Univ, Butler Hosp, Dept Neurol, Providence, RI 02912 USA
来源：
EXPERT REVIEW OF NEUROTHERAPEUTICS | 2017年 / 17卷 / 03期
关键词：
Parkinson's disease; perioperative; preoperative; postoperative; operation; surgery; delirium; hospital; medications; parenteral; sedation; anesthesia; cognition; nausea; sleep; encephalopathy; gastroparesis; DEEP BRAIN-STIMULATION; POSTOPERATIVE DELIRIUM; ORTHOSTATIC HYPOTENSION; GENERAL-ANESTHESIA; INCIDENT DEMENTIA; COGNITIVE DECLINE; RISK-FACTORS; SURGERY; APOMORPHINE; PATIENT;
D O I：
10.1080/14737175.2017.1241143
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Introduction: Guidelines for the management of Parkinson's disease (PD) patients in the perioperative setting are lacking.Areas covered: Here we review potential problems that may arise when PD patients are undergoing an operation. We also review the literature, where available, and provide our expert opinion and recommendations based on experience.Expert commentary: Elderly patients with PD are especially prone to complications in the perioperative setting. Extreme caution must be used to ensure appropriate medication administration, transition to non-oral agents, if indicated, and early mobilization to achieve rapid recovery after surgery.
引用
收藏
页码：301 / 308
页数：8
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