Skip to main content Accessibility help
×
Hostname: page-component-76fb5796d-2lccl Total loading time: 0 Render date: 2024-04-28T09:12:48.029Z Has data issue: false hasContentIssue false

Case 33 - Airwaycrisis during deep brain stimulator placement

from Section I - Neuroanesthesia

Published online by Cambridge University Press:  03 May 2011

George A. Mashour
Affiliation:
University of Michigan
Ehab Farag
Affiliation:
Cleveland Clinic
Get access

Summary

Deep brain stimulation (DBS) is the ultimate therapy for motor disease disorders like Parkinson's disease (PD) and dystonia. This chapter presents a case study of a 70-year-old male with a past medical history of hypertension, hyperlipidemia, obstructive sleep apnea, and PD. The patient was scheduled for unilateral DBS electrode insertion in the subthalamic nucleus under sedation. The DBS procedure requires fixation of the patient's head to the stereotactic apparatus for accurate electrode placement. Patient selection and preparation for the procedure are very important in order to minimize the perioperative complications. Propofol can induce respiratory depression and airway obstruction, as was seen in the case. Placement of a laryngeal mask airway (LMA) is the ideal method for managing the upper airway in emergency situations during DBS procedures. Dexmedetomidine creates an environment in which the patient feels comfortable and relaxed during the procedure.
Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×