치과 진료실에 들어오지 않으려는 자폐환자에서 미다졸람 경구투여 -증례보고-
MIDAZOLAM ORAL PREMEDICATION IN AUTISTIC PATIENT WHO IS AFRAID TO ENTER DENTAL OFFICE -A CASE REPORT-
이정후, 서광석, 신터전, 김현정, 장주혜,
소속 상세정보
이정후 ( Lee Jung-Hoo ) - 서울대학교 치의학대학원 치과마취과학교실
서광석 ( Seo Kwang-Suk ) - 서울대학교 치의학대학원 치과마취과학교실
신터전 ( Shin Teo-Jeon ) - 서울대학교 치의학대학원 치과마취과학교실
김현정 ( Kim Hyun-Jeong ) - 서울대학교 치의학대학원 치과마취과학교실
장주혜 ( Chang Ju-Hea ) - 서울대학교 치과병원 장애인구강진료실
KMID : 1144020090050020100
Abstract
Dental treatment of mentally challenged patients under general anesthesia is a series of challenging procedures not only for dental operators but also for dental anesthesiologists. Patients presenting with uncooperative behavior often resist the perioperative management for adesthestic administration. This case report suggests oral premedication as a conjuctive method for anestheitic induction. A 26-year-old male dental patient with autism was referred to dental treatment under general anesthesia. The patient refused to enter dental clinic office and was not able to receive preoperative assessment. In the day of operation, 15 mg of midazolam was given to the patient for oral premedication prior to anesthetic induction. Ater 20 minutes, the patient presented with drowziness and was transferred to the office. Anesthestic staff were able to achieve appropriate intravenous access and mask inhalation. The patient recieved 8 hrs long dental treatment and recovered in a noncomplicated way. Oral midazolam is commonly used to reduce anxiety for combative and irritated pateints. In this case, oral midazolam sedation was used as a preanesthetic management of a highly uncoopearive patient.
키워드
Autism; Anesthesia induction; Midazolam; Dental treatment
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