Oral surgery under local anesthesia with dexmedetomidine sedation in a morbidly obese patient with aortic dissection
Seto Mika, Matsuda Michitaka, Narihira Kyoichi, Kikuta Toshihiro,
소속 상세정보
( Seto Mika ) - Fukuoka University Faculty of Medicine Department of Oral and Maxillofacial Surgery
( Matsuda Michitaka ) - Fukuoka University Faculty of Medicine Department of Oral and Maxillofacial Surgery
( Narihira Kyoichi ) - Fukuoka University Faculty of Medicine Department of Oral and Maxillofacial Surgery
( Kikuta Toshihiro ) - Fukuoka University Faculty of Medicine Department of Oral and Maxillofacial Surgery
KMID : 0355620160420030162
Abstract
We report a case of a morbidly obese man with an aortic aneurysm, in whom dental surgery was performed before elective cardiac surgery. His aortic aneurysm required emergency surgery. However, because of his morbid obesity, elective cardiac surgery was planned. Considering the high risk of infective endocarditis, dental surgery was required. Our patient was at a high risk of aortic rupture caused by hypertension and breathing difficulty in the supine position. Dexmedetomidine (DEX) is an anti-anxiety, sedative, and analgesic medicine that can stabilize circulatory dynamics and minimize blood pressure fluctuations. We administered intravenous DEX for sedation of the patient in Fowler’s position. In conclusion, our understanding of the risk factors of DEX enabled us to perform safe invasive oral treatment.
키워드
Aortic aneurysm; Morbid obesity; Oral surgical procedures; Local anesthetics
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