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Anaesthetic Management of a Geriatric Patient with Parkinson’s Disease, who was Posted for Emergency Laparotomy- A Case Report

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Anaesthetic Management of a Geriatric Patient with Parkinson’s Disease, who was Posted for Emergency Laparotomy- A Case Report

Auteurs : Renuka T. Holyachi ; Santosh Karajagi ; Siddanagouda M. Biradar

Source :

Journal of Clinical and Diagnostic Research : JCDR [ 2249-782X ] ; 2013.

RBID : PMC:3576772

Abstract

Parkinson’s Disease (PD) is a relatively common neuro degenerative disorder in the geriatric age group. The pathophysiological changes in these patients predispose to major systemic complications like aspiration pneumonitis, respiratory depression, myocardial depression and postural hypotension. Anaesthetic agents interact with the anti-Parkinsonian medication and this may lead to adverse effects. Here, we are presenting a case report of the anaesthetic management of a patient with a history of Parkinson’s disease, who was posted for emergency laparotomy.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3576772

DOI: 10.7860/JCDR/2012/5175.2691
PubMed: 23450641
PubMed Central: 3576772

Affiliations:

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PMC:3576772

Le document en format XML

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<author><name sortKey="Holyachi, Renuka T" sort="Holyachi, Renuka T" uniqKey="Holyachi R" first="Renuka T" last="Holyachi">Renuka T. Holyachi</name>
<affiliation><nlm:aff id="aff1"> Assistant Professor, Department of Anaesthesiology,</nlm:aff>
<wicri:noCountry code="subfield">Department of Anaesthesiology</wicri:noCountry>
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<front><div type="abstract" xml:lang="en"><p>Parkinson’s Disease (PD) is a relatively common neuro degenerative disorder in the geriatric age group. The pathophysiological changes in these patients predispose to major systemic complications like aspiration pneumonitis, respiratory depression, myocardial depression and postural hypotension. Anaesthetic agents interact with the anti-Parkinsonian medication and this may lead to adverse effects. Here, we are presenting a case report of the anaesthetic management of a patient with a history of Parkinson’s disease, who was posted for emergency laparotomy.</p>
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  <front><journal-meta><journal-id journal-id-type="nlm-ta">J Clin Diagn Res</journal-id>
<journal-id journal-id-type="iso-abbrev">J Clin Diagn Res</journal-id>
<journal-id journal-id-type="hwp">Journal of Clinical and Diagnostic Research</journal-id>
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<journal-title-group><journal-title>Journal of Clinical and Diagnostic Research : JCDR</journal-title>
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<issn pub-type="ppub">2249-782X</issn>
<issn pub-type="epub">0973-709X</issn>
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<publisher-loc>Delhi, India</publisher-loc>
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<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
<subj-group subj-group-type="heading"><subject>Anaesthesia Section</subject>
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<title-group><article-title>Anaesthetic Management of a Geriatric Patient with Parkinson’s Disease, who was Posted for Emergency Laparotomy- A Case Report</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Holyachi</surname>
<given-names>Renuka T</given-names>
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 Assistant Professor, Department of Anaesthesiology,</aff>
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 Senior Resident, Department of Anaesthesiology,</aff>
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 Associate Professor, Department of General Medicine,<institution>BLDEU’S Shri BM Patil Medical College and RC</institution>
,<addr-line>Bijapur-586103, Karnataka, India</addr-line>
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<author-notes><corresp id="cor1">NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Renuka T Holyachi, Assistant Professor, Department of Anaesthesiology, BLDEU’S Shri BM PatilMedical College and RC, Bijapur-586103. Karnataka, India. Phone: 9886492178, 08352-262770 E-mail: <email>renuka312@gmail.com</email>
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<pub-date pub-type="ppub"><month>1</month>
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<volume>7</volume>
<issue>1</issue>
<fpage>148</fpage>
<lpage>149</lpage>
<history><date date-type="received"><day>15</day>
<month>10</month>
<year>2012</year>
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<date date-type="rev-request"><day>05</day>
<month>11</month>
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<date date-type="accepted"><day>01</day>
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<permissions><copyright-statement>© 2013 Journal of Clinical and Diagnostic Research</copyright-statement>
<copyright-year>2013</copyright-year>
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<abstract><p>Parkinson’s Disease (PD) is a relatively common neuro degenerative disorder in the geriatric age group. The pathophysiological changes in these patients predispose to major systemic complications like aspiration pneumonitis, respiratory depression, myocardial depression and postural hypotension. Anaesthetic agents interact with the anti-Parkinsonian medication and this may lead to adverse effects. Here, we are presenting a case report of the anaesthetic management of a patient with a history of Parkinson’s disease, who was posted for emergency laparotomy.</p>
</abstract>
<kwd-group><kwd>Parkinson’s disease</kwd>
<kwd>Anaesthesia</kwd>
<kwd>Perioperative complication</kwd>
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<tree><noCountry><name sortKey="Biradar, Siddanagouda M" sort="Biradar, Siddanagouda M" uniqKey="Biradar S" first="Siddanagouda M" last="Biradar">Siddanagouda M. Biradar</name>
<name sortKey="Holyachi, Renuka T" sort="Holyachi, Renuka T" uniqKey="Holyachi R" first="Renuka T" last="Holyachi">Renuka T. Holyachi</name>
<name sortKey="Karajagi, Santosh" sort="Karajagi, Santosh" uniqKey="Karajagi S" first="Santosh" last="Karajagi">Santosh Karajagi</name>
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Anaesthetic Management of a Geriatric Patient with Parkinson’s Disease, who was Posted for Emergency Laparotomy- A Case Report

Anaesthetic Management of a Geriatric Patient with Parkinson’s Disease, who was Posted for Emergency Laparotomy- A Case Report

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Abstract

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