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Bilateral vocal cord paralysis during emergence from general anesthesia in a patient with Parkinson's disease.
Saudi J Anaesth. 2020 Jan-Mar; 14(1):112-114.SJ

Abstract

Parkinson's disease (PD) is a neurodegenerative disorder that affects the extrapyramidal system, and respiratory dysfunction has also been noted in patients with PD. However, acute upper airway obstruction due to bilateral vocal cord paralysis is a very rare finding in PD. Here, we describe a rare life-threatening respiratory failure caused by bilateral vocal cord paralysis in an elderly woman with PD during emergence from general anesthesia. The tracheostomy was performed on the postoperative period because the condition persisted. The general anesthesia in PD may have aggravated vocal cord impairment. We recommend when a patient with PD is scheduled for general anesthesia that the anesthesiologist performs careful preoperative examinations, strictly monitors respiratory function, and rapidly manages acute upper airway obstruction.

Authors+Show Affiliations

Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungnam University, Daegu, Republic of Korea.Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungnam University, Daegu, Republic of Korea.Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungnam University, Daegu, Republic of Korea.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31998031

Citation

Kim, Ji-Il, et al. "Bilateral Vocal Cord Paralysis During Emergence From General Anesthesia in a Patient With Parkinson's Disease." Saudi Journal of Anaesthesia, vol. 14, no. 1, 2020, pp. 112-114.
Kim JI, Lee DH, Kim H. Bilateral vocal cord paralysis during emergence from general anesthesia in a patient with Parkinson's disease. Saudi J Anaesth. 2020;14(1):112-114.
Kim, J. I., Lee, D. H., & Kim, H. (2020). Bilateral vocal cord paralysis during emergence from general anesthesia in a patient with Parkinson's disease. Saudi Journal of Anaesthesia, 14(1), 112-114. https://doi.org/10.4103/sja.SJA_515_19
Kim JI, Lee DH, Kim H. Bilateral Vocal Cord Paralysis During Emergence From General Anesthesia in a Patient With Parkinson's Disease. Saudi J Anaesth. 2020 Jan-Mar;14(1):112-114. PubMed PMID: 31998031.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bilateral vocal cord paralysis during emergence from general anesthesia in a patient with Parkinson's disease. AU - Kim,Ji-Il, AU - Lee,Deok-Hee, AU - Kim,Hyuckgoo, Y1 - 2020/01/06/ PY - 2019/08/14/received PY - 2019/08/15/accepted PY - 2020/1/31/entrez KW - General anesthesia KW - Parkinson's disease KW - vocal cord paralysis SP - 112 EP - 114 JF - Saudi journal of anaesthesia JO - Saudi J Anaesth VL - 14 IS - 1 N2 - Parkinson's disease (PD) is a neurodegenerative disorder that affects the extrapyramidal system, and respiratory dysfunction has also been noted in patients with PD. However, acute upper airway obstruction due to bilateral vocal cord paralysis is a very rare finding in PD. Here, we describe a rare life-threatening respiratory failure caused by bilateral vocal cord paralysis in an elderly woman with PD during emergence from general anesthesia. The tracheostomy was performed on the postoperative period because the condition persisted. The general anesthesia in PD may have aggravated vocal cord impairment. We recommend when a patient with PD is scheduled for general anesthesia that the anesthesiologist performs careful preoperative examinations, strictly monitors respiratory function, and rapidly manages acute upper airway obstruction. SN - 1658-354X UR - https://www.unboundmedicine.com/medline/citation/31998031/Bilateral_vocal_cord_paralysis_during_emergence_from_general_anesthesia_in_a_patient_with_Parkinson's_disease L2 - http://www.saudija.org/article.asp?issn=1658-354X;year=2020;volume=14;issue=1;spage=112;epage=114;aulast=Kim DB - PRIME DP - Unbound Medicine ER -
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