Parkinson's and anesthesia w/total shoulder replacement

I would like to know as well.

@sillyblone, thanks for reanimating this topic. I noted in another discussion on Mayo Clinic Connect, @hopeful33250 provided useful information about patients with Parkinson's and the potential effects of anesthesia, hospitalizations and surgery. She shared these resources:

- Anesthesia, surgery linked to subtle decline in memory and thinking in older adults, Mayo study finds https://newsnetwork.mayoclinic.org/discussion/anesthesia-surgery-linked-to-subtle-decline-in-memory-and-thinking-in-older-adults-mayo-study-finds/
and
- Cognitive Decline Associated With Anesthesia and Surgery in Older Patients https://jamanetwork.com/journals/jama/fullarticle/2782851

hopeful33250 also added: As with all things, the benefits need to be weighed against the risks.

@sherryallen, did you and your husband decide to proceed with the total shoulder replacement? If so, how did it go for him? How are you both doing now?

My husband has Parkinson's with dementia and the dementia was triggered by a colonoscopy and endoscopy that were done in an unsuccessful attempt to find a GI bleed. He eventually needed to go to a psych unit for two weeks to balance his medications. He came home doing very well but unfortunately fell and broke his hip and had hip surgery, gamma nail, as a result. I explained to the anesthesiologist about his reactions to anesthetics. She was able to give him a lighter dose that he managed well, I've heard recently that some people get spinal anesthesia, instead of a general, which seems to have a better outcome.
My question is whether it is possible to wean my husband off the psychotropic medications or is the dementia permanent?