Treatment of severe pain in a patient with complex regional pain syndrome undergoing dental treatment under general anesthesia: A case report
Journal of Dental Anesthesia and Pain Medicine
;
: 295-300, 2019.
Artigo
em Inglês
| WPRIM
| ID: wpr-764392
ABSTRACT
Complex regional pain syndrome (CRPS) is rare, characterized by pain from diverse causes, and presents as extreme pain even with minor irritation. General anesthesia may be required for dental treatment because the pain may not be controlled with local anesthesia. However, treatment under general anesthesia is also challenging. A 38-year-old woman with CRPS arrived for outpatient dental treatment under general anesthesia. At the fourth general anesthesia induction, she experienced severe pain resulting from her right toe touching the dental chair. Anesthesia was induced to calm her and continue the treatment. After 55 minutes of general anesthesia, the patient still complained of extreme toe pain. Subsequently, two administrations for intravenous sedation were performed, and discharge was possible in the recovery room approximately 5 h after the pain onset. The pain was not located at the dental treatment site. Although the major factor causing pain relief was unknown, ketamine may have played a role.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pacientes Ambulatoriais
/
Sala de Recuperação
/
Dedos do Pé
/
Assistência Odontológica
/
Síndromes da Dor Regional Complexa
/
Manejo da Dor
/
Anestesia
/
Anestesia Geral
/
Ketamina
/
Anestesia Local
Tipo de estudo:
Estudo diagnóstico
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Journal of Dental Anesthesia and Pain Medicine
Ano de publicação:
2019
Tipo de documento:
Artigo
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