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ISSN 0016-3813 (Impreso)

2013, Número 3

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Gac Med Mex 2013; 149 (3)


Consideraciones perioperatorias en pacientes con enfermedad de Parkinson: implicaciones farmacológicas

González-Latapi P, Cervantes-Arriaga A, Rodríguez-Violante M

Idioma: Español
Referencias bibliográficas: 70
Paginas: 334-343
Archivo PDF: 102.27 Kb.


RESUMEN

Los procedimientos quirúrgicos en pacientes con enfermedad de Parkinson (EP) son frecuentes. El manejo perioperatorio de la EP requiere del conocimiento de la patología así como de las propiedades farmacológicas de los medicamentos utilizados. Dado el riesgo de complicaciones y la complejidad del manejo antiparkinsónico en un paciente con EP sometido a un procedimiento quirúrgico, es necesario establecer un abordaje sistematizado. En la presente revisión se describen las características farmacocinéticas y farmacodinámicas de los medicamentos utilizados para el tratamiento de los pacientes con EP. Se sugieren estrategias para el manejo farmacológico en los periodos preoperatorio, transoperatorio y postoperatorio. Finalmente, se hace referencia a las alternativas al tratamiento con sustitución dopaminérgica.


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