Treatment of Acute Delirium in a Patient with Parkinson’s Disease by Transfer to the Intensive Care Unit and Administration of Dexmedetomidine
The treatment of delirium or psychosis in patients with Parkinson’s disease (PD) can be complicated by the limited number of pharmacological agents that can be used in this population. Typical and atypical antipsychotics are contraindicated, as they can worsen motor symptoms. The treatment of acute...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Movement Disorder Society
2020-05-01
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| Series: | Journal of Movement Disorders |
| Subjects: | |
| Online Access: | http://www.e-jmd.org/upload/jmd-20005.pdf |
| _version_ | 1797758988488540160 |
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| author | Morgan Lombardo Amanda DiPiazza Kelly Rippey Naomi Lubarr Elana Clar Hooman Azmi |
| author_facet | Morgan Lombardo Amanda DiPiazza Kelly Rippey Naomi Lubarr Elana Clar Hooman Azmi |
| author_sort | Morgan Lombardo |
| collection | DOAJ |
| description | The treatment of delirium or psychosis in patients with Parkinson’s disease (PD) can be complicated by the limited number of pharmacological agents that can be used in this population. Typical and atypical antipsychotics are contraindicated, as they can worsen motor symptoms. The treatment of acute delirium is even more complicated in the hospital setting, as many medications deemed safer in this population are only available in oral form. We present a case of acute delirium in a patient with PD, likely precipitated by a polypharmacy interaction of new medications, that was successfully managed by transferring the patient to the intensive care unit and administering dexmedetomidine for 72 hours. |
| first_indexed | 2024-03-12T18:37:56Z |
| format | Article |
| id | doaj.art-7e3e95d324894f66a2a77504c539fff3 |
| institution | Directory Open Access Journal |
| issn | 2005-940X 2093-4939 |
| language | English |
| last_indexed | 2024-03-12T18:37:56Z |
| publishDate | 2020-05-01 |
| publisher | Korean Movement Disorder Society |
| record_format | Article |
| series | Journal of Movement Disorders |
| spelling | doaj.art-7e3e95d324894f66a2a77504c539fff32023-08-02T07:55:39ZengKorean Movement Disorder SocietyJournal of Movement Disorders2005-940X2093-49392020-05-0113215916210.14802/jmd.20005289Treatment of Acute Delirium in a Patient with Parkinson’s Disease by Transfer to the Intensive Care Unit and Administration of DexmedetomidineMorgan Lombardo0Amanda DiPiazza1Kelly Rippey2Naomi Lubarr3Elana Clar4Hooman Azmi5 Department of Neurosurgery, Hackensack University Medical Center, Hackensack, NJ, USA Department of Neurosurgery, Hackensack University Medical Center, Hackensack, NJ, USA Division of Trauma and Critical Care, Department of Surgery, Hackensack University Medical Center, Hackensack, NJ, USA Department of Neurology, Hackensack University Medical Center, Hackensack, NJ, USA North Jersey Brain and Spine Center, Hackensack, NJ, USA Department of Neurosurgery, Hackensack University Medical Center, Hackensack, NJ, USAThe treatment of delirium or psychosis in patients with Parkinson’s disease (PD) can be complicated by the limited number of pharmacological agents that can be used in this population. Typical and atypical antipsychotics are contraindicated, as they can worsen motor symptoms. The treatment of acute delirium is even more complicated in the hospital setting, as many medications deemed safer in this population are only available in oral form. We present a case of acute delirium in a patient with PD, likely precipitated by a polypharmacy interaction of new medications, that was successfully managed by transferring the patient to the intensive care unit and administering dexmedetomidine for 72 hours.http://www.e-jmd.org/upload/jmd-20005.pdfdeliriumdexmedetomidineparkinson’s diseasetreatment |
| spellingShingle | Morgan Lombardo Amanda DiPiazza Kelly Rippey Naomi Lubarr Elana Clar Hooman Azmi Treatment of Acute Delirium in a Patient with Parkinson’s Disease by Transfer to the Intensive Care Unit and Administration of Dexmedetomidine Journal of Movement Disorders delirium dexmedetomidine parkinson’s disease treatment |
| title | Treatment of Acute Delirium in a Patient with Parkinson’s Disease by Transfer to the Intensive Care Unit and Administration of Dexmedetomidine |
| title_full | Treatment of Acute Delirium in a Patient with Parkinson’s Disease by Transfer to the Intensive Care Unit and Administration of Dexmedetomidine |
| title_fullStr | Treatment of Acute Delirium in a Patient with Parkinson’s Disease by Transfer to the Intensive Care Unit and Administration of Dexmedetomidine |
| title_full_unstemmed | Treatment of Acute Delirium in a Patient with Parkinson’s Disease by Transfer to the Intensive Care Unit and Administration of Dexmedetomidine |
| title_short | Treatment of Acute Delirium in a Patient with Parkinson’s Disease by Transfer to the Intensive Care Unit and Administration of Dexmedetomidine |
| title_sort | treatment of acute delirium in a patient with parkinson s disease by transfer to the intensive care unit and administration of dexmedetomidine |
| topic | delirium dexmedetomidine parkinson’s disease treatment |
| url | http://www.e-jmd.org/upload/jmd-20005.pdf |
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