title: Anaesthetic management of a patient with deep brain stimulation implant for radical nephrectomy.
abstract: A 63-year-old man with severe Parkinson's disease (PD) who had been implanted with deep brain stimulators into both sides underwent radical nephrectomy under general anaesthesia with standard monitoring. Deep brain stimulation (DBS) is an alternative and effective treatment option for severe and refractory PD and other illnesses such as essential tremor and intractable epilepsy. Anaesthesia in the patients with implanted neurostimulator requires special consideration because of the interaction between neurostimulator and the diathermy. The diathermy can damage the brain tissue at the site of electrode. There are no standard guidelines for the anaesthetic management of a patient with DBS electrode in situ posted for surgery.
authors.affiliation: Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
authors.forename: Monica
authors.initials: M
authors.lastname: Khetarpal
authors.affiliation: Department of Anaesthesiology and Critical Care, Nizam's Institute of Medical Sciences, Hyderabad, Andhra Pradesh, India.
authors.forename: Monu
authors.initials: M
authors.lastname: Yadav
authors.affiliation: Department of Anaesthesiology and Critical Care, Nizam's Institute of Medical Sciences, Hyderabad, Andhra Pradesh, India.
authors.forename: Dilip
authors.initials: D
authors.lastname: Kulkarni
authors.affiliation: Department of Anaesthesiology and Critical Care, Nizam's Institute of Medical Sciences, Hyderabad, Andhra Pradesh, India.
authors.forename: R
authors.initials: R
authors.lastname: Gopinath
keywords: Anaesthesia complications; Parkinson's disease; deep brain stimulation