Megann Smiley, Brandon Key, Caroline M Sawicki, Spencer D Wade
{"title":"Perioperative Management of Patients With Seizure Disorders: Part II.","authors":"Megann Smiley, Brandon Key, Caroline M Sawicki, Spencer D Wade","doi":"10.2344/25-0028","DOIUrl":null,"url":null,"abstract":"<p><p>Patients with seizure disorders frequently present for anesthetic care, and anesthesiologists must be adequately equipped to manage these patients safely throughout the perioperative period. While Part I of this review focused on seizure diagnosis, classification, and treatment, Part II focuses on perioperative considerations for patients with seizure disorders. A detailed preoperative assessment is imperative as well as an in-depth understanding of the patient's medications and treatment modalities. It is also important to understand how each perioperative medication affects the patient's seizure threshold. Finally, if a perioperative seizure does occur, prompt diagnosis and management is critical. This review aims to provide an overview of these topics for both hospital and office-based settings.</p>","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"72 3","pages":"189-198"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418356/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anesthesia progress","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2344/25-0028","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Patients with seizure disorders frequently present for anesthetic care, and anesthesiologists must be adequately equipped to manage these patients safely throughout the perioperative period. While Part I of this review focused on seizure diagnosis, classification, and treatment, Part II focuses on perioperative considerations for patients with seizure disorders. A detailed preoperative assessment is imperative as well as an in-depth understanding of the patient's medications and treatment modalities. It is also important to understand how each perioperative medication affects the patient's seizure threshold. Finally, if a perioperative seizure does occur, prompt diagnosis and management is critical. This review aims to provide an overview of these topics for both hospital and office-based settings.