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.
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Anévrysme de l'aorte
/
Rupture aortique
/
Respiration
/
Chirurgie stomatologique (spécialité)
/
Chirurgie thoracique
/
Pression sanguine
/
Obésité morbide
/
Facteurs de risque
/
Décubitus dorsal
/
Procédures de chirurgie maxillofaciale et buccodentaire
Type d'étude:
Etude diagnostique
/
Etude d'étiologie
/
Facteurs de risque
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Journal of the Korean Association of Oral and Maxillofacial Surgeons
Année:
2016
Type:
Article
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