Deep sedation for dental treatment in a Down syndrome patient with Eisenmenger syndrome: A case report
지성인, 김현정, 서광석,
소속 상세정보
지성인 ( Chi Seong-In ) - Seoul National University School of Dentistry Department of Dental Anesthesiology
김현정 ( Kim Hyun-Jeong ) - Seoul National University School of Dentistry Department of Dental Anesthesiology
서광석 ( Seo Kwang-Suk ) - Seoul National University School of Dentistry Department of Dental Anesthesiology
KMID : 0980320160160010067
Abstract
Eisenmenger syndrome (ES) is characterized by pulmonary arterial hypertension and right-to-left shunting. The signs and symptoms of ES include cyanosis, shortness of breath, fatigue, hemoptysis, and sudden death. In patients with ES, it is important that the systemic and pulmonary circulations be properly distributed and maintained. General dental treatment is not known to be particularly dangerous. To control pain and anxiety, local anesthetics without epinephrine are usually recommended. However, in cases of difficulty of cooperation, general anesthesia for dental treatment makes the condition worse. In the present case, intravenous deep sedation with propofol and remifentanil was administered for behavioral management during dental treatment successfully.
키워드
Deep sedation; Dental treatment; Down syndrome; Eisenmenger syndrome; Propofol; Remifentanil
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