Oral surgery under local anesthesia with dexmedetomidine sedation in a morbidly obese patient with aortic dissection
Journal of the Korean Association of Oral and Maxillofacial Surgeons
;
: 162-165, 2016.
Artículo
en Inglés
| WPRIM
| ID: wpr-201084
ABSTRACT
We report a case of a morbidly obese man with an aortic aneurysm, in whom dental surgery was performed before elective cardiac surgery. His aortic aneurysm required emergency surgery. However, because of his morbid obesity, elective cardiac surgery was planned. Considering the high risk of infective endocarditis, dental surgery was required. Our patient was at a high risk of aortic rupture caused by hypertension and breathing difficulty in the supine position. Dexmedetomidine (DEX) is an anti-anxiety, sedative, and analgesic medicine that can stabilize circulatory dynamics and minimize blood pressure fluctuations. We administered intravenous DEX for sedation of the patient in Fowler's position. In conclusion, our understanding of the risk factors of DEX enabled us to perform safe invasive oral treatment.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Aneurisma de la Aorta
/
Rotura de la Aorta
/
Respiración
/
Cirugía Bucal
/
Cirugía Torácica
/
Presión Sanguínea
/
Obesidad Mórbida
/
Factores de Riesgo
/
Posición Supina
/
Procedimientos Quirúrgicos Orales
Tipo de estudio:
Estudio diagnóstico
/
Estudio de etiología
/
Factores de riesgo
Límite:
Humanos
Idioma:
Inglés
Revista:
Journal of the Korean Association of Oral and Maxillofacial Surgeons
Año:
2016
Tipo del documento:
Artículo
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