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기관지 천식과 편도 증식증 환자에서 상악 정중부 과잉치 발치 전 포크랄과 케타민 투여 진정요법 시 발생된 기도폐쇄와 호흡장애 -증례 보고-

Airway Obstruction and Respiratory Distress Owing to Sedation by use of Chloral Hydrate & Ketamine Before Extraction of the Mesiodens in Patient with Bronchial Asthma & Tonsillar Hyperplasia -A Case Report-

대한치과마취과학회지 2010년 10권 1호 p.34 ~ 44
최영수, 강상훈, 김문기, 이천의, 유재하,
소속 상세정보
최영수 ( Choi Young-Su ) - 국민건강보험공단 일산병원 구강악안면외과
강상훈 ( Kang Sang-Hoon ) - 국민건강보험공단 일산병원 구강악안면외과
김문기 ( Kim Moon-Key ) - 국민건강보험공단 일산병원 구강악안면외과
이천의 ( Lee Chun-Ui ) - 연세대학교 치과대학 원주기독병원 구강악안면외과
유재하 ( Yoo Jae-Ha ) - 연세대학교 치과대학 원주기독병원 구강악안면외과

Abstract


The causes for airway obstruction include foreign body aspiration, congenital structural abnormalities of the airway, infection, etc. And the potential causes of acute respiratory distress contain many situations, like hyperventilation, vasodepressor syncope, asthma, etc. A major factor that leads to the exacerbation of respiratory disorders is undue stress, either physiologic or psychologic. Psychologic stress in dentistry is the primary factor in the exacerbation of preexisting medical problems. Adequate pretreatment medical and dental evaluation of the prospective patient can often prevent respiratory problems from developing. The dentist can modify patient management to minimize the risk of exacerbating these conditions. When dental anxiety is a major factor, the use of psychosedative procedures and other stress-reduction techniques should also be considered. This is the report of a children case of airway obstruction and respiratory distress owing to sedation complication by use of Chloral hydrate and Ketamine before extraction of the mesiodens in a patient with bronchial asthma and tonsillar hyperplasia. After these situations, the patient was consulted & referred to the department of Pediatrics and Otorhinolaryngology.

키워드

Airway obstruction; Respiratory distress; Mesiodens; Chloral hydrate; Ketamine; Sedation complication

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