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Neuroanaesthesia and Coexisting Psychiatric Problems

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Co-existing Diseases and Neuroanesthesia

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Abstract

Psychiatric illnesses are on the rise throughout the globe mainly due to enhanced awareness and advanced diagnostic modalities [1]. The actual prevalence is also rising due to the changing environmental factors including increasing population, lesser number of jobs, increasing competition at every step, declining moral and ethical values, job stress, altered lifestyles, lesser time available for self-care, etc. [2]. In India, the reported incidence of psychiatric disorders is much lower than the actual incidence of these diseases [3–6]. Unlike the other central nervous system (CNS) disorders, there are no anatomical defects, but there are only functional imbalances between different areas of the brain. In neurosurgical patients, the organic diseases can manifest as psychiatric disorder [7–9]. Most commonly recognised pathway leading to psychiatric disorders is deficiencies of major neurotransmitters of the brain including dopamine, norepinephrine and serotonin [10]. The pharmacological target for treatment of psychiatric illnesses is to increase the concentration of these neurotransmitters at effect site by either inhibiting the metabolism or reducing the reuptake at nerve ending. These psychotropic medications are associated with serious side effects and drug interactions [11].

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Author information

Authors and Affiliations

  1. Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh, India

    Kiran Jangra

  2. Adesh Institute of Medical Sciences and Research, Bhatinda, India

    Navneh Samagh

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  1. Kiran Jangra
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  2. Navneh Samagh
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Editor information

Editors and Affiliations

  1. Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India

    Hemanshu Prabhakar

  2. Department of Neuroanesthesiology and Neurocritical Care, Medanta, The Medicity, Gurugram, India

    Vasudha Singhal

  3. Department of Neuroanaesthesia, Indraprastha Apollo Hospital, New Delhi, India

    Nidhi Gupta

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Jangra, K., Samagh, N. (2019). Neuroanaesthesia and Coexisting Psychiatric Problems. In: Prabhakar, H., Singhal, V., Gupta, N. (eds) Co-existing Diseases and Neuroanesthesia. Springer, Singapore. https://doi.org/10.1007/978-981-13-2086-6_11

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  • DOI: https://doi.org/10.1007/978-981-13-2086-6_11

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  • Online ISBN: 978-981-13-2086-6

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