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A Simple Method to Improve the Safety and Comfort of Anesthesia for Deep Brain Stimulation: Case Report and Literature Review

Lee, Yi-Hui MD*; Chen, Kuen-Bao MD; Kuo, Yu-Cheng MD‡,§,∥; Chien, Chi-Tsung MD*,¶; Chen, Chia-Wen MD†,♯

doi: 10.1097/WNQ.0b013e31820f17a2
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Deep brain stimulation (DBS) is widely accepted in the treatment of Parkinson disease and other movement disorder. Local anesthesia or monitored anesthesia with or without light sedation is the most common method for patients undergoing DBS. Many complications occur during this procedure but respiratory complications are the most feared in the fixed frame as they may make the access to the patient's airway difficult. Here, we report a simple method using local anesthetics to enhance tolerance of endotracheal tube with and without sedation. We believe this modification improves the safety and comfort of anesthesia for DBS.

*Department of Anesthesiology, Sijhih Cathay General Hospital

Department of Biomedical Imaging and Radiological Sciences

Institute of Brain Science, National Yang-Ming University, Taipei

Departments of Anesthesiology

Radiation Oncology, China Medical University Hospital

§Department of Biomedical Imaging and Radiological Science

Graduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan

Reprints: Chia-Wen Chen, MD, Department of Anesthesiology, China Medical University Hospital, 2 Yuh-Der Road, North District, Taichung 404, Taiwan (e-mail: kib88977@gmail.com).

© 2011 Lippincott Williams & Wilkins, Inc.