[Perioperative management of patients with Parkinson's disease].
Ageing patients reveal an increasing coincidence of orthopaedic disorders and Parkinson's disease (PD). In addition, parkinsonian motor symptoms predispose individuals for orthopaedic diseases. PD patients have a higher risk of perioperative complications than patients without PD; this higher risk is based on motor and autonomous deficits in PD as well as on interactions between antiparkinsonian and anaesthesia medications. The elevated perioperative risk in PD can be reduced by appropriate perioperative management and no longer represents a contraindication to surgery in PD patients.
Spiegel
J
J
Neurologische Klinik, Universitätsklinikum des Saarlandes, Kirrberger Strasse, 66421, Homburg/Saar, Deutschland. nejspi@uniklinik-saarland.de
D000777:Anesthetics / Q000009:adverse effects; D000978:Antiparkinson Agents / Q000009:adverse effects / Q000627:therapeutic use; D000075202:Contraindications; D004347:Drug Interactions; D006801:Humans; D019637:Orthopedic Procedures; D010300:Parkinson Disease / Q000150:complications* / Q000628:therapy*; D019990:Perioperative Care / Q000379:methods*; D012307:Risk Factors
D000777:Anesthetics; D000978:Antiparkinson Agents