| An Anesthetic Management of a Patient with Parkinson's Disease Who Underwent Whipple's Operation by Enteral Levodopa Administration. |
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Wha Ja Kang, Jae Yeol Oh, Kun Sik Kim, Dong Ok Kim, dong Soo Kim |
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Department of Anesthesiology, College of Medicine, Kyung Hee University, Seoul, Korea. whakang@hotmail.com |
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| Abstract |
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Parkinson's disease is a relatively common neurologic disorder that afflicts approximately 1% of the population over 50 years old. Many drugs currently used for the treatment of Parkinson's disease may interact with anesthetic drugs. Brief interruption of levodopa during surgery may result in exacerbation of Parkinson's symptoms.
However, safe and effective way to administer levodopa during surgery are not widely known. We report the perioperative treatment of a patient with Parkinson's disease by using intraoperative administration of levodopa through nasogastric tube and feeding jejunostomy tube. This method of levodopa administration successfully prevented the exacerbation of Parkinsonian symptoms. |
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