Anesthesia for deep brain stimulation: an update
- 20 July 2021
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Current Opinion in Anaesthesiology
- Vol. 34 (5), 563-568
- https://doi.org/10.1097/aco.0000000000001038
Abstract
Purpose of review Deep brain stimulation (DBS) is a rapidly expanding surgical modality for the treatment of patients with movement disorders. Its ability to be adjusted, titrated, and optimized over time has given it a significant advantage over traditional more invasive surgical procedures. Therefore, the success and popularity of this procedure have led to the discovery of new indications and therapeutic targets as well as advances in surgical techniques. The aim of this review is to highlight the important updates in DBS surgery and to exam the anesthesiologist's role in providing optimal clinical management. Recent findings New therapeutic indications have a significant implication on perioperative anesthesia management. In addition, new technologies like frameless stereotaxy and intraoperative magnetic resonance imaging to guide electrode placement have altered the need for intraoperative neurophysiological monitoring and hence increased the use of general anesthesia. With an expanding number of patients undergoing DBS implantation, patients with preexisting DBS increasingly require anesthesia for unrelated surgery and the anesthesiologist must be aware of the considerations for perioperative management of these devices and potential complications. DBS will continue to grow and evolve requiring adaptation and modification to the anesthetic management of these patients.Keywords
This publication has 36 references indexed in Scilit:
- Intraoperative Hypotension During Second Stage of Deep Brain Stimulator Placement: Same Day versus Different Day ProceduresWorld Neurosurgery, 2016
- Anesthesia for Deep Brain StimulationCurrent Anesthesiology Reports, 2016
- The Effect of General Anesthesia on the Microelectrode Recordings From Pallidal Neurons in Patients With DystoniaJournal of Neurosurgical Anesthesiology, 2016
- Flurbiprofen and hypertension but not hydroxyethyl starch are associated with post-craniotomy intracranial haematoma requiring surgeryBritish Journal of Anaesthesia, 2014
- Preservation of microelectrode recordings with non–GABAergic drugs during deep brain stimulator placement in childrenJournal of Neurosurgery: Pediatrics, 2014
- Deep brain stimulation: Subthalamic nucleus electrophysiological activity in awake and anesthetized patientsClinical Neurophysiology, 2012
- Subthalamic Deep Brain Stimulation in Parkinson’s Disease under Different Anesthetic Modalities: A Comparative Cohort StudyStereotactic and Functional Neurosurgery, 2011
- Anesthesia for deep brain stimulationCurrent Opinion in Anaesthesiology, 2011
- Human Subthalamic Neuron Spiking Exhibits Subtle Responses to SedativesAnesthesiology, 2011
- Propofol Decreases Neuronal Population Spiking Activity in the Subthalamic Nucleus of Parkinsonian PatientsAnesthesia & Analgesia, 2010