외래치료실에서의 근위축성 측삭경화증 환자(ALS)의 전신마취 하치과 치료시 마취관리
Anesthetic Management of an Amyotrophic Lateral Sclerosis Patient Undergoing Dental Care in Daysurgery Center
김한수, 이숙영, 최은혜, 김승오,
소속 상세정보
김한수 ( Kim Han-Su ) - 단국대학교 치과대학 부속치과병원 치과마취과
이숙영 ( Lee Suk-Young ) - 단국대학교 치과대학 죽전치과병원 치과마취과
최은혜 ( Choi Eun-Hye ) - 단국대학교 치과대학 부속치과병원 통합진료과
김승오 ( Kim Seung-Oh ) - 단국대학교 치과대학 부속치과병원 치과마취과
KMID : 0980220130130040195
Abstract
Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease caused by the degeneration of upper and lower motor neurons. The disorder causes muscle weakness and atrophy in airway muscles including pharyngeal, laryngeal and other respiratory muscles. The response to muscle realxant is also altered in patients with ALS. Because of the inherent muscle weakness and associated respiratory insufficiency, particular attentions are needed in anesthetic management of ALS patients. We used proper doses of inhalation anesthetics and opioids under EEG-entropy (electroencephalography-entropy)-monitoring without the use of muscle realxants in the anesthetic management of a patient with ALS. The patient early recovered and was discharged on the same day without any respiratory complications.
키워드
Amyotrophic lateral sclerosis; Dental care; EEG-entropy; Muscle relaxant
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