급성 치성감염 병소에서 국소마취 중 유발된 과환기 : 증례보고
Hyperventilation During Local Anesthesia in Acute Odontogenic Infectious Lesion : Report of two cases
유재하, 김현실, 백성흠, 유태민,
소속 상세정보
유재하 ( Yoo Jae-Ha ) - 연세대학교 치과대학 구강악안면외과학교실
김현실 ( Kim Hyun-Sil ) - 연세대학교 치과대학 구강악안면외과학교실
백성흠 ( Baek Seong-Heum ) - 연세대학교 치과대학 구강악안면외과학교실
유태민 ( YounTae-Min ) - 연세대학교 치과대학 구강악안면외과학교실
KMID : 0980220020020020107
Abstract
Hyperventilation is defined as ventilation in excess of that required to maintain normal blood PaO2 and PaCO2. It is produced by several distinct causes: anxiety, respiratory alkalosis, increased blood catecholamine levels, and a decrease in the level of the ionized calcium in the blood. The dental fears about acute pain, needle, drill and dental surgery lead to the severe anxiety and increased blood catecholamine level.
Therefore, the most dental patient should be cared gently as the stress reduction protocol. In spite of the gentle care, two cases of hyperventilation were occurred during local anesthesia for incision and drainage of acute odontogenic infectious lesions.
We suggest that the dental patients with acute odontogenic infection must be attention for the manifestation of hyperventilation, especially in the medically compromised conditions.
키워드
Acute odontogenic infection; Hyperventilation; Local anesthesia; Stress reduction protocol
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