Recently I had two case (both happened to be long ortho cases) where the patients had severe Parkinson’s dz and they were extremely labile during the case. I figured it was autonomic dysfunction related to their Parkinson’s; anyone have any experience with this?
Parkinson’s disease and autonomic instability
- Thread starter PainDrain
- Start date
- Joined
- Apr 9, 2006
- Messages
- 5,656
- Reaction score
- 7,672
Yes. Very common with Parkinsons.
- Joined
- Oct 12, 2011
- Messages
- 643
- Reaction score
- 1,195
Yes. It helps with they are taking their parkinsons meds the day of surgery and shortly after on the same timeline.
- Joined
- Sep 18, 2012
- Messages
- 749
- Reaction score
- 2,402
Had a pump case a couple weeks ago where patient had Parkinson’s. Dude was all over the place. It’s a thing.
I definitely knew it was possible and had read about it but I just never experienced it myself in practice. Interestingly and anecdotally, one case was a TIVA and the other used volatile; looking at the records the TIVA was definitely more stable than volatile.
D
deleted1130227
Lots of Parkinson's patients suffer from Shy-Drager syndrome. Ever notice that patients with moderate to severe Parkinson's disease are rarely on antihypertensives. Even if they needed them earlier in life.
- Joined
- Apr 9, 2006
- Messages
- 5,656
- Reaction score
- 7,672
Don't confuse Parkinsons with Shy Drager / Multiple System Atrophy. Not the same. Not interchangeable terms. You either have one or the other.
