Perioperative management of Parkinson's disease.
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.
a Department of Neurology , Brown University, Rhode Island Hospital , Providence , RI , USA.
Umer
U
Akbar
b Department of Surgery and Pediatrics , Brown University, Hasbro Children's Hospital , Providence , RI , USA.
Arlet G
AG
Kurkchubasche
c Department of Neurology , Brown University, Butler Hospital , Providence , RI , USA.
Joseph H
JH
Friedman
D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D007431:Intraoperative Complications; D010300:Parkinson Disease / Q000150:complications / Q000601:surgery; D011183:Postoperative Complications
Parkinson’s disease; anesthesia; cognition; delirium; encephalopathy; gastroparesis; hospital; medications; nausea; operation; parenteral; perioperative; postoperative; preoperative; sedation; sleep; surgery