[Postoperative respiratory failure resulting from perioperative withdrawal of antiparkinsonian medications].
A patient with Parkinson's disease developed postoperative respiratory arrest due to perioperative withdrawal of antiparkinsonian medications and later presented a rapid recovery after parenteral administration of levodopa. In perioperative management of parkinsonian patients, it is important to continue antiparkinsonian medications until the operation is started and to administer levodopa parenteraly after the operation until oral administration of antiparkinsonian drugs becomes possible. In addition, we must pay attention to the choice of drugs so that parkinsonism may not be induced or aggravated.
Department of Anesthesiology, Nishi-kobe Medical Center, Kobe.
H
H
Koganei
S
S
Tanaka
K
K
Iijima
Y
Y
Horikawa
O
O
Tanaka
D000368:Aged; D000978:Antiparkinson Agents / Q000009:adverse effects*; D006801:Humans; D007980:Levodopa / Q000009:adverse effects*; D008297:Male; D019990:Perioperative Care; D011183:Postoperative Complications / Q000139:chemically induced* / Q000188:drug therapy; D012131:Respiratory Insufficiency / Q000139:chemically induced* / Q000188:drug therapy; D013375:Substance Withdrawal Syndrome / Q000150:complications
D000978:Antiparkinson Agents; D007980:Levodopa