Patients with Parkinson's disease are at higher risk of peri-operative medical and surgical complications. Multidisciplinary management, early recognition of potential complications, specialised care of medications and intra-operative protection of the vulnerable brain are all important aspects of the peri-operative management of patients with Parkinson's disease. Advances in continuous dopaminergic treatment, development of a peri-operative Parkinson's disease pathway and application of telemedicine are starting to play a role in improving peri-operative care. Management of patients with advanced Parkinson's disease is also evolving, with potential for incorporation of integrated care and changes in the anaesthetic management for deep brain stimulation surgery. There are new methods for localisation of target nuclei and increasing insight on the effects of anaesthetic drugs on microelectrode recordings and clinical outcomes. Parkinson's disease is a progressive disease, but management is improving with better peri-operative care for patients.

中文翻译：

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帕金森病患者的围手术期管理。

帕金森病患者围手术期内科和外科并发症的风险较高。多学科管理、潜在并发症的早期识别、药物的专门护理和易损大脑的术中保护都是帕金森病患者围手术期管理的重要方面。持续多巴胺能治疗的进展、围手术期帕金森病通路的开发和远程医疗的应用开始在改善围手术期护理方面发挥作用。晚期帕金森病患者的管理也在不断发展，有可能整合综合护理和改变深部脑刺激手术的麻醉管理。有新的方法可以定位靶核，并增加对麻醉药物对微电极记录和临床结果影响的认识。帕金森病是一种进行性疾病，但随着对患者更好的围手术期护理，管理正在改善。