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.
Article
em En
| WPRIM
| ID: wpr-217985
Biblioteca responsável:
WPRO
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..
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Texto completo:
1
Índice:
WPRIM
Assunto principal:
Oxigênio
/
Oximetria
/
Monitores de Pressão Arterial
/
Propofol
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Sedação Consciente
/
Ansiedade ao Tratamento Odontológico
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Eletrocardiografia
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Eletroencefalografia
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Sedação Profunda
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Segurança do Paciente
Limite:
Adult
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Female
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Humans
Idioma:
En
Revista:
Journal of Dental Anesthesia and Pain Medicine
Ano de publicação:
2016
Tipo de documento:
Article