“Can anaesthesia lead to neurological issues?”
My father was administered general anesthesia for a medical procedure he underwent. After the procedure was over, he has been talking vaguely and complaining of hand tremors. Is it a side effect of the procedure or the anesthesia?
8 Answers
Hi,
As we age, we become more sensitive to the effects of anesthesia, anesthesia is also cleared slower as we age. Temporary episodes of confusion and tremors can be associated with anesthesia.
Dr Ketch
As we age, we become more sensitive to the effects of anesthesia, anesthesia is also cleared slower as we age. Temporary episodes of confusion and tremors can be associated with anesthesia.
Dr Ketch
Post operative cognitive dysfunction (POCD) is a known event that occurs in elderly individuals undergoing anesthesia and surgery. Sometimes permanent dysfunction does occur, sometimes it is transient. The question from the family left some detail missing, but an article that discusses the problem is attached. Contact your anesthesia provider for more detailed information.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3959222/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3959222/
You dont explain what kind of sugery he had. But neuro and behavior changes could be related due to side effects of anesthesia drugs, i.e., Versed disorientation. Also must be rule a cva after anesthesia. My recommendation is a CT scan of the brain and neuro eval. Good luck.
It's hard to answer without knowing how old your father is, his medical history, what was the procedure and type of anesthetic used. In general there are rearly neurological complications from anesthesia. Side effects of medications used are more likely but they are typically short lived.
The onset of hand tremors and speech issues would be rare due to anesthesia alone. Some people are naturally sleepy and groggy and may have dry mouth, affecting speech. Since I do not know what procedure he had or his prior medical conditions, it is difficult to answer this question. If you can provide further information, we could perhaps answer your question better.
It is always a scary prospect when family members undigo surgical procedures, and it is very understandable to be sensitive to any changes in their baseline status after emergence from Anesthesia. Obviously it is our goal to avoid any preventable decreases in a patient’s functional of cognitive capacity. To answer your question directly, minor tremors or periods of delirium are not altogether uncommon and can be due to unavoidable decreases in a patients inhibitory neuro-transmitter function after General Anesthesia. In addition, there are many unpredictable effects of various commonly delivered peri-operative medications on a particular individuals system. If pre-existing cognitive deficits are present and identified, certain medications and types of inhaled anesthetics can be substituted. However, even with all means of due diligence, there is no perfectly predictive means to determine how each patient will react to a particular anesthetic regimen. This is why recognition of pre-existing deficits, choice of technique and close follow up postoperatively from the entire care team are all important. My best wishes on his recovery.