Use of ADMS™ during sedation for dental treatment of an intellectually disabled patient: a case report
Journal of Dental Anesthesia and Pain Medicine
;
: 217-222, 2016.
Artículo
en Inglés
| WPRIM
| ID: wpr-217985
ABSTRACT
Dental treatment is often performed under general anesthesia or sedation when an intellectually disabled patient has a heightened fear of treatment or has difficulty cooperating. When it is impossible to control the patient due to the severity of intellectual disability, conscious sedation is not a viable option, and only deep sedation should be performed. Deep sedation is usually achieved by propofol infusion using the target controlled infusion (TCI) system, with deep sedation being achieved at a slightly lower concentration of propofol in disabled patients. In such cases, anesthesia depth monitoring using EEG, as with a Bispectral Index (BIS) monitor, can enable dental treatment under appropriate sedation depth. In the present case, we performed deep sedation for dental treatment on a 27-year-old female patient with mental retardation and severe dental phobia. During sedation, we used BIS and a newly developed Anesthetic Depth Monitor for Sedation (ADMS™), in addition to electrocardiography, pulse oximetry, blood pressure monitoring, and capnometry for patient safety. Oxygen was administered via nasal prong to prevent hypoxemia during sedation. The BIS and ADMS™ values were maintained at approximately 70, and dental treatment was successfully performed in approximately 30 min..
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Oxígeno
/
Oximetría
/
Monitores de Presión Sanguínea
/
Propofol
/
Sedación Consciente
/
Ansiedad al Tratamiento Odontológico
/
Electrocardiografía
/
Electroencefalografía
/
Sedación Profunda
/
Seguridad del Paciente
Límite:
Adulto
/
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Journal of Dental Anesthesia and Pain Medicine
Año:
2016
Tipo del documento:
Artículo
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