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Patients with psychiatric disease: implications for anesthesiologists.
David B Guthrie1,2, Deborah C Richman2
1Division of Dental Anesthesiology, Department of Oral and Maxillofacial Surgery, Stony Brook School of Dental Medicine.
Current Opinion in Anaesthesiology
|May 3, 2021
Summary
Patients with psychiatric illness undergoing surgery benefit from continuing psychoactive medications. Careful consideration of drug interactions and risks associated with withholding treatment is crucial for optimal surgical outcomes.
Area of Science:
- Psychiatry
- Anesthesiology
- Surgical Outcomes
Background:
- Psychiatric illnesses are prevalent in surgical patients.
- Comorbid psychiatric conditions negatively impact overall health and surgical results.
Purpose of the Study:
- To evaluate the perioperative implications of new psychiatric treatment modalities.
- To assess risks and benefits of continuing psychoactive agents during the perioperative period.
Main Methods:
- Review of recent literature on perioperative psychiatric care.
- Analysis of drug-drug interactions and hemodynamic effects.
- Evaluation of bleeding risks and exacerbation factors.
Main Results:
- New psychiatric treatments require careful perioperative evaluation.
- Drug interactions, hemodynamic effects, and bleeding risks are key considerations.
- Factors influencing perioperative exacerbation of psychiatric illness were identified.
Conclusions:
- Continuation of psychoactive agents is supported in the perioperative period.
- Consideration of concomitant drug use and risks of discontinuation is essential.
- Managing psychiatric conditions perioperatively is vital for patient well-being and surgical success.
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