title: Parkinson's disease and deep brain stimulator placement.
abstract: Deep brain stimulation (DBS) has added to the comfort and quality of life for an increasing number of Parkinson's disease (PD) patients. The anesthesiologist needs to understand the pathophysiology of the disease, the surgical procedure, and its postoperative implications to most effectively manage these patients. This article examines the role of the anesthesiologist in the pre- and perioperative management of patients undergoing DBS procedures. In terms of the general anesthetic management of PD patients, it is clear that no simple anesthetic regimen exists. Anesthesiologists can provide the best care through preoperative assessment, maintenance of PD drug therapy, and avoidance of known precipitating agents.
authors.affiliation: Department of Anesthesiology, Mount Sinai School of Medicine, New York, NY 10029-6574, USA. Stacie.deiner@mountsinai.org
authors.forename: Stacie
authors.initials: S
authors.lastname: Deiner
authors.forename: John
authors.initials: J
authors.lastname: Hagen
mesh_terms: D000368:Aged; D000758:Anesthesia; D000768:Anesthesia, General; D000978:Antiparkinson Agents / Q000009:adverse effects / Q000627:therapeutic use; D046690:Deep Brain Stimulation / Q000379:methods*; D004567:Electrodes, Implanted; D004569:Electroencephalography; D006801:Humans; D008297:Male; D016343:Monitoring, Intraoperative; D010300:Parkinson Disease / Q000150:complications / Q000601:surgery / Q000628:therapy*; D013238:Stereotaxic Techniques
chemical_list: D000978:Antiparkinson Agents