Bhirud Pritee H, Kate Jalpa Arvind
Department of Anaesthesia, Bhabha Atomic Research Centre Hospital, Mumbai, Maharashtra, India.
Indian J Anaesth. 2017 May;61(5):432-434. doi: 10.4103/ija.IJA_178_17.
Timely administration of dopamine agonists is of the essence in Parkinson's disease. The perioperative period especially for abdominal surgeries under general anaesthesia poses a challenge to oral drug administration. Alternatives such as rotigotine patches and subcutaneous apomorphine administration have been described but unavailability restricts their use. Sublingual administration of tablet levodopamine as an alternative worked well in our patients and we would like to describe the same.
及时给予多巴胺激动剂对帕金森病至关重要。围手术期，尤其是全身麻醉下的腹部手术，对口服药物给药构成挑战。已描述了如罗替戈汀贴剂和皮下注射阿扑吗啡等替代方法，但可用性限制了它们的使用。在我们的患者中，舌下含服左旋多巴片作为替代方法效果良好，我们在此进行描述。
