RT Book, Section
A1 Butterworth IV, John F.
A1 Mackey, David C.
A1 Wasnick, John D.
SR Print(0)
ID 1161429642
T1 Anesthesia for Patients with Neurological & Psychiatric Diseases
T2 Morgan & Mikhail's Clinical Anesthesiology, 6e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259834424
LK accessmedicine.mhmedical.com/content.aspx?aid=1161429642
RD 2024/04/19
AB KEY  CONCEPTS  Induction  of  anesthesia  in  patients  receiving  long-term  levodopa  therapy  may  result  in  either  marked  hypotension  or  hypertension.  In  patients  with  multiple  sclerosis,  increases  in  body  temperature  cause  exacerbation  of  symptoms.  The  major  risk  of  anesthesia  in  patients  with  autonomic  dysfunction  is  severe  hypotension,  compromising  cerebral  and  coronary  blood  flow.  Autonomic  hyperreflexia  should  be  expected  in  patients  with  spinal  cord  lesions  above  T6  and  can  be  precipitated  by  surgical  manipulations.  The  most  important  interaction  between  anesthetic  agents  and  tricyclic  antidepressants  is  an  exaggerated  response  to  both  indirect-acting  vasopressors  and  sympathetic  stimulation.