Complications and nursing in the anesthesia recovery period of patients with Parkinson's disease underwent deep brain stimulation

Abstract

Objective To retrospectively investigate the incidence of complications for patients with Parkinson's disease underwent deep brain stimulation in the anesthesia recovery period so as to provide timely and effective nursing interventions in clinical practice. Methods A total of 869 patients with Parkinson's disease underwent deep brain stimulation enrolled into neurosurgery from March 2009 to June 2016 in Beijing Tian Tan Hospital were recruited and the situation in the anesthesia recovery period were analyzed. Nursing of complications including circulatory and respiratory systems, pain, shiver, postoperative nausea and vomiting (PONV) , emergence delirium and delayed recovery were recorded. Results Totally 869 patients were enrolled in this study, 36.7% of which had complications as follows: hypertension (15.3%, n=133) , arrhythmia (11.4%, n=99) , emergence delirium (8.7%, n=76) , respiratory obstruction (2.8%, n=24) , PONV (2.1%, n=18) , hypoxemia (2.0%, n=17) , pain (1.2%, n=10) , delayed recovery (1.2%, n=10) , shiver (0.3%, n=3) and hypotension (0.1%, n=1) . It was found that 97.7% (n=849) of patients were discharged from the postanesthesia care unit with modified Aldrete score ≥9, while 2.3% (n=20) of patients had scores ≤8. Conclusions Patients with Parkinson's disease underwent deep brain stimulation have specific complications. It is important to keep a stable circulation and prevent respiratory complications and aspiration in the anesthesia recovery period. Individual nursing interventions can keep the safety of patients and increase the quality of nursing. Key words: Parkinson disease; Anesthesia recovery period; Postoperative complications; Deep brain stimulation