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
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Yes. Very common with Parkinsons.
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Yes. It helps with they are taking their parkinsons meds the day of surgery and shortly after on the same timeline.
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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.
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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.
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Don't confuse Parkinsons with Shy Drager / Multiple System Atrophy. Not the same. Not interchangeable terms. You either have one or the other.
