&lt;p&gt;Spinal versus General Anesthesia for Patients with Parkinson’s Disease&lt;/p&gt;

Hani, Diab A. Bani; Aleshawi, Abdelwahab; Shalakhti, Majd Al; Alhowary, Alaa''a; Al-Jararahih, Osama; Al-Mistarehi, Abdel-Hameed; Yassin, Ahmed

doi:10.2147/ijgm.s232770

Cited by 5 publications

(2 citation statements)

References 30 publications

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“…Diagnosis is usually clinical, based on symptoms of bradykinesia, rigidity and tremors. 3 Medical management aims to control signs and symptoms related to disease. 4 However, in severe cases, poor control or extreme side effects may occur due to medical treatment.…”

Section: Introductionmentioning

confidence: 99%

Anaesthetic management of patients undergoing deep brain simulation: A retrospective review of 8 cases from a tertiary care center of Pakistan

et al. 2020

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Objectives: To review anaesthesia related outcome, perioperative complications and overall length of stay (LOS) in hospital for patients who had deep brain stimulation (DBS). Methods: The study was retrospective review of patients medical records diagnosed with Parkinson disease (PD) and underwent DBS at The Aga Khan University Hospital, Karachi from 2017-2019. Data was reviewed from file notes and patient chart and recorded on predesigned Performa. Frequency and percentages were used to present the data. Results: All patients were anaesthetized using Sleep-Awake-Sleep technique (SAS). Dexmedetomidine was mainly used for conscious sedation. Bispectral index monitor (BIS) was used to monitor the depth of sedation, and kept between 70-85 during sedative phase. All patients had successful intraoperative neurological monitoring, stimulation, and placement of electrodes. Total duration of anesthesia varied significantly in between the patients. Maximum duration was 600 minutes. None of our patient had any intraoperative event related to anaesthetic management. Overall five patients had some adverse events during ward stay. Mean LOS in hospital was four days. Conclusion: Anaesthetic management of DBS is well-tolerated. It requires dedicated team. The SAS technique is excellent for intraoperative neurophysiological monitoring. Careful selection of sedative agents and monitoring depth of anaesthesia using BIS would be beneficial in terms of improving related outcomes. doi: https://doi.org/10.12669/pjms.36.7.2870 How to cite this:Ahmed U, Shafiq F, Kumar D, Ahsan K, Ghaffar W, Bari E. Anaesthetic management of patients undergoing deep brain simulation: A retrospective review of 8 cases from a tertiary care center of Pakistan. Pak J Med Sci. 2020;36(7):---------. doi: https://doi.org/10.12669/pjms.36.7.2870 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Introductionmentioning

confidence: 99%

Anaesthetic management of patients undergoing deep brain simulation: A retrospective review of 8 cases from a tertiary care center of Pakistan

et al. 2020

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“…Regional anesthesia techniques decrease these risks in PD. [2] However, neuraxial blocks may not be applied in elderly patients with multiple comorbidities and taking anticoagulant therapy. [3] Peripheral nerve blocks may be a good alternative in these patients.…”

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confidence: 99%