SITE LINK

간이식 예정인 간부전 환아의 치과치료 시 마취관리 : 증례보고
Anesthetic Management of the Dental Treatment in a Child with Liver Failure Scheduled for Liver Transplantation : A case report

대한치과마취과학회지 2002년 2권 2호 p.114 ~ 117

박창주, 장기택, 김현정, 염광원,

소속 상세정보

박창주 ( Park Chang-Joo ) - 서울대학교 치과대학 치과마취과학교실
장기택 ( Jang Ki-Taeg ) - 서울대학교 치과대학 소아치과학교실
김현정 ( Kim Hyun-Jeong ) - 서울대학교 치과대학 치과마취과학교실
염광원 ( Yeom Kwang-Won ) - 서울대학교 치과대학 치과마취과학교실

KMID : 0980220020020020114

Abstract

Special anesthetic considerations were required for children with acute or chronic liver disease. We experienced a case of dental treatment to control infection under general anesthesia in the 2-year-old girl with liver failure. She was also scheduled for liver transplantation. Her preanesthetic results of liver function test, electrolytes, and coagulation panel were unstable and out of normal ranges. Uneventful anesthetic induction using isoflurane and atracurium and nasotracheal intubation were carried out. General anesthesia was maintained with isoflurane for 2 hours. Oozing from multiple extraction sites was sustained, so the transfusion of platelet concentration 7 units, fresh frozen plasma 1 unit, and packed red blood cell 1 unit was done. She was recovered without complication but was transferred to pediatric intensive care unit for wound care with her endotracheal tube kept. She was transferred to a ward without noticeable complications next day.
So we report this successful case of anesthetic management for dental treatment in a child with liver failure.