Article information
RESUMEN
La enfermedad de Parkinson es un trastorno neurológico degenerativo que causa alteraciones motoras, autonómicas, sistémicas y psiquiátricas, cuyo inicio suele ser después de los 60 años de edad.
Los cambios fisiopatológicos que se desarrollan en la enfermedad de Parkinson, el incremento de la expectativa de vida de nuestra población y las posibles interacciones de los anestésicos con la terapia farmacológica dirigida al control de los síntomas del Parkinson, imponen situaciones especiales en el ámbito perioperatorio y justifican el conocimiento del tema para el anestesiólogo.
El propósito de este manuscrito es revisar las características que hacen especial el manejo perioperatorio de este grupo de pacientes y resumir las opciones y recomendaciones descritas al respecto, enfocándonos en los procedimientos no neurológicos a los que suelen ser sometidos.
Key words:
Parkinson's disease
anesthesia
perioperative care
Palabras clave:
enfermedad de Parkinson
anestesia
cuidado perioperatorio
ABSTRACT
Parkinson's disease is a neurodegenerative pathology that causes motor, autonomic, systemic and psychiatric alterations, which start usually after 60 years of age.
The physiopathological changes that develop during this disease, the increasing life expectancy of our population, and the possible interactions between anesthetics and pharmacological therapy used to manage Parkinson's symptoms impose special situations in the perioperative scenario and justify the knowledge about this topic for the anesthesiologist.
The aim of this manuscript is to review the characteristics that make the perioperative management of this group of patients special, and summarizes the options and recommendations described in the matter, with focus on the non-neurological procedures that they would normally be subject to.
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