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BJA Advance Access originally published online on June 25, 2009
British Journal of Anaesthesia 2009 103(2):152-165; doi:10.1093/bja/aep179
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 BJA: August 2009
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© The Author [2009]. Published by Oxford University Press on behalf of The Board of Directors of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournal.org

Anaesthesia for deep brain stimulation and in patients with implanted neurostimulator devices

C. C. M. Poon and M. G. Irwin*

Department of Anaesthesiology, Hong Kong University, K424, Queen Mary Hospital, Pokfulam Road, Hong Kong

* Corresponding author. E-mail: mgirwin{at}hkucc.hku.hk, mgirwin{at}hku.hk

Deep brain stimulation has become an increasingly common treatment for Parkinson's disease and other movement disorders. Consequently, it is important to understand the concepts of appropriate patient selection, the implantation process, and the various drugs and techniques that can be used to facilitate this treatment. Currently, none of the anaesthetic techniques for neurostimulator implantation has proven to be superior to others, although awake or sedation techniques are popular as they facilitate intraoperative neurological testing. However, even with meticulous anaesthetic care, perioperative complications such as hypertension and seizures do occasionally occur and close monitoring is required. Anaesthesia in patients with an implanted neurostimulator requires special considerations because of possible interference between neurostimulators and other devices. We have reviewed the current knowledge of anaesthetic techniques and perioperative complications of neurostimulator insertion. Anaesthetic considerations in patients with an implanted neurostimulator are also discussed.

Keywords: anaesthesia, neurosurgical; equipment, stimulators; parkinsonism; sedation; surgery, neurological


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E-letters:

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Anaesthesia for deep brain stimulation
Ian Thomas, et al.
British Journal of Anaesthesia, 26 Oct 2009 [Full text]
Anaesthesia for deep brain stimulation
Michael G Irwin
British Journal of Anaesthesia, 3 Nov 2009 [Full text]
Proper Airway Maintenance Improves Perioperative Safety for Deep Brain Stimulation
Chi-Tsung Chien, et al.
British Journal of Anaesthesia, 3 Nov 2009 [Full text]
Proper Airway Maintenance Improves Perioperative Safety for Deep Brain Stimulation
Michael G Irwin
British Journal of Anaesthesia, 4 Nov 2009 [Full text]

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