정주진정 하에 매복치 발거 시 발생된 Pulsus Paradoxus (Severe Airway Obstruction) -증례보고-
Pulsus Paradoxus During Extraction of Impacted Tooth under Intravenous Sedation -A Case Report-
전새로미, 김종수, 김승오,
소속 상세정보
전새로미 ( Jun Saeromi ) - 단국대학교 치과대학 소아치과
김종수 ( Kim Jong-Soo ) - 단국대학교 치과대학 소아치과
김승오 ( Kim Seung-Oh ) - 단국대학교 치과대학 치과마취과학교실
KMID : 0980220110110010032
Abstract
Pulsus paradoxus has been defined as a decrease in systolic blood pressure (SBP) of 10 mmHg or more during inspiration. This report describes pulsus paradoxus detected by pulse oximetry during dental procedure. Case: A 10 years old boy who had impacted mandibular premolar with malformation scheduled for extraction under intravenous sedation with Fentanyl and Propofol. The patient showed upper airway obstruction with stridor and pulsus paradoxus. Though pulsus paradoxus is generally critical condition, in this case, respiration and other vital sign was maintained comparatively well with care in administering oxygen and considerate monitoring of pulse oximetry and capnography. Discussion: Noninvasive continuous monitoring of pulse oximetry allows recognition of pulsus paradoxus which can lead to serious problems. Clinicians should know very well about it and be able to manage of this kind of situation.
키워드
Airway obstruction; Intravenous Sedation; Pulsus paradoxus; Sedation complication
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