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REVIEW ARTICLE
Year : 2007  |  Volume : 51  |  Issue : 5  |  Page : 382

Parkinson's Disease and Anaesthesia


1 MD, FAMS, Hony.Consultant Anaesthetist, Apollo Gleneagles Hospital, Kolkata., India
2 MD, Specialist Registrar, Norfolk and Norwich University Hospital, Norwich, United Kingdom
3 MD, Assistant Professor of Anaesthesia, Medical College & Hospital, Kolkata, India
4 MD, Consultant Anaesthesiologist, Apollo Gleneagles Hospital, Kolkata, India
5 MD, MNAMS, Prof. & HOD of Anaesthesia, Midnapur Medical College, Midnapur, India
6 MD, Registrar of Anaesthesia, Apollo Gleneagles Hospital, Kolkata, India

Correspondence Address:
A Rudra
1, Shibnarayan Das Lane, Kolkata - 700006
India
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Source of Support: None, Conflict of Interest: None


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Parkinson's disease is a debilitating neurodegenerative disorder due to death of dopaminergic neurons of the substantia nigra that leads to resting tremor, muscle rigidity, and bradykinesia. Parkinson's disease is a common disease of elderly patients who present a particular anaesthetic challenge. Good number of patients are newly diagnosed at the time of preanaesthetic examinations. Variety of drugs may be used for symptomatic treatment. Controversies surrounding the use of the newer drugs and possible advances in neurosurgical interventions are discussed. Particular anaesthetic problems in Parkinson's disease include respiratory, cardiovascular, and neurological. Potential drug interactions are described and recommendations are made about suitable anaesthetic technique.


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