Management of patients with neurological and psychiatric disorders |
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Authors: | Tony VeenithRowan M. Burnstein |
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Affiliation: | Tony Veenith FRCA is a Specialist Registrar in Anaesthesia at the Anglia School of Anaesthesia, UK. Conflicts of interest: none declared; Rowan M Burnstein MBBS FRCA PhD is Clinical Director of Neurocritical Care at Addenbrooke’s Hospital, Cambridge, UK. Conflicts of interest: none declared |
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Abstract: | Stroke, neuromuscular disorders, epilepsy and psychiatric disease are amongst the most common neurological conditions encountered in patients presenting for surgery. In some instances, patients may require surgery as a direct result of their neurological disease. Both anaesthesia and surgery may exacerbate pre-existing disease, and there may be important interactions between drugs used to treat neurological disease and drugs used in the perioperative period. Patients with muscular weakness, immobility, sensory and autonomic neuropathy, or cognitive impairment are in an increased risk of perioperative complications. This article focuses on commonly encountered conditions and their management in the perioperative period. |
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Keywords: | Antidepressants autonomic dysfunction cerebrovascular disease dementia depression Down&rsquo s syndrome epilepsy multiple sclerosis neurological disorders Parkinson&rsquo s disease perioperative management respiratory impairment stroke |
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