• Anaesth Intensive Care · Nov 2011

    Case Reports

    Nasogastric medication for perioperative Parkinson's rigidity during anaesthesia emergence.

    • P Stagg and T Grice.
    • Department of Anaesthesia, Gold Coast Hospital, Robina Campus, Gold Coast, Queensland, Australia. Philip.stagg@gmail.com
    • Anaesth Intensive Care. 2011 Nov 1;39(6):1128-30.

    AbstractWe present a case of severe rigidity during emergence from general anaesthesia in a 64-year-old man who had suffered from Parkinson's disease for nine years. Controversy still exists over how to optimally manage these patients perioperatively. We successfully managed his Parkinsonism with administration of crushed Sinemet" and amantadine via a nasogastric tube. This case report serves as a reminder of the importance that patients receive their anti-Parkinsonian medications perioperatively, and highlights the potential benefits of inserting a gastric tube to continue anti-Parkinson's medication dosing during prolonged surgery.

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