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Parkinson's and anesthesia w/total shoulder replacement
My husband has PD and needs a total shoulder replacement. His surgeon is great and warned us that patients with PD run the risk of never being the same again after anesthesia. After reading a few other articles (not on this site). I have learned that it can bring on signs of dementia. Has there ever been any studies on this subject? Are there any percentages on this happening? Should I let him do this surgery. I am so confused and scared. His pain level is so intense.
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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?
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1 ReactionMy 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?
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1 ReactionHi @sherryallen - wondering if your husband ended up doing the total shoulder replacement? If so, how did the anesthesia go?
"Gladiator Therapeutics" offer products(shoulder brace) with implanted technology that may help manage pain. There is a video on website of someone with shoulder issues with pain relief using the brace. We pray he finds relief. We have used these products & have found pain relief using the abdominal belt for back pain & knee pain. Amazing technology. Also used for Parkinson's disease.