치은비대를 동반한 척수성 근위축증 환자의 마취관리 -증례보고-
General Anesthesia in a Child with Possible Spinal Muscular Atrophy Combined with Gingival Hyperplasia -A Case Report -
서광석, 박창주, 김현정, 염광원,
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서광석 ( Seo Kwang-Suk ) - 서울대학교 치과병원 마취통증의학과
박창주 ( Park Chang-Joo ) - 서울대학교 치과대학 치과마취과학교실
김현정 ( Kim Hyun-Jeong ) - 서울대학교 치과대학 치과마취과학교실
염광원 ( Yeom Kwang-Won ) - 서울대학교 치과대학 치과마취과학교실
KMID : 0980220040040020100
Abstract
Spinal muscular atrophies are inherited neurodegenerative disorders affecting anterior hem cells. There are various problems, especially weakness of respiratory muscle and abnormal reaction to muscle relaxants during the general anesthesia. And gingival hyperplasia can make the proper airway management difficult. Experience with anesthetic management in a patient with spinal muscular atrophy combined with gingival hyperplasia has been very rare. We report the anesthetic experience of a wheel-chair-bound child, who underwent gingivectomy under general anesthesia. The child was safely managed with fibroscopic nasotracheal intubation under sevoflurane without muscle relaxants. Also, there was no deterioration of her underlying neurologic conditions.
키워드
General anesthesia; Gingival hyperplasia; Neuromuscular disease; Sevoflurane
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