Analysis on common complications during anesthesia recovery period after deep brain stimulation in patients with Parkinson disease
10.3760/cma.j.jssn.1673-4904.2016.10.012
- VernacularTitle:帕金森病患者脑深部电刺激术后麻醉恢复期常见并发症分析
- Author:
Huiwen WANG
;
Xuemei ZHANG
;
Chunmei HOU
;
Hui FANG
;
Yumei LYU
;
Ruquan HAN
- Publication Type:Journal Article
- Keywords:
Parkinson disease;
Postoperative complications;
Electric stimulation;
Anesthesia recovery period;
Retrospective studies
- From:
Chinese Journal of Postgraduates of Medicine
2016;39(10):901-903
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the common complications during anesthesia recovery period after deep brain stimulation in patients with Parkinson disease. Methods The complications during anesthesia recovery period after deep brain stimulation in 869 patients with Parkinson disease were retrospectively analyzed. Results The median recovery time during anesthesia recovery period was 15 (0 - 30) min. The complications of 869 patients with Parkinson disease were hypertension in 133 cases (15.3%), arrhythmia in 99 cases (11.4%), agitation in recovery period in 76 cases (8.7%), respiratory obstruction in 24 cases (2.8%), postoperative nausea and vomiting (PONV) in 18 cases (2.1%), hypoxemia in 17 cases (2.0%), pain in 10 cases (1.2%), delayed emergence in 10 cases (1.2%), shivering in 3 cases (0.3%), and hypotension in 1 case (0.1%). The incidence of 1 complication was 26.8%(233/869), the incidence of ≥ 2 complications was 9.9% (86/869), and the total incidence of complications was 36. 7% (319/869). In the 869 patients, the modified Aldrete score ≥ 9 scores when patients were removed away from the anesthesia recovery room was in 849 cases (97.7%), and≤8 scores was in 20 cases (2.3%). Conclusions The common complications during anesthesia recovery period after deep brain stimulation in patients with Parkinson disease are special. To maintain a stable circulation, preventing respiratory complications and aspiration are important to reduce the incidence and improve the prognosis.
