지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
이용수
초록· 키워드
오류제보하기
Pulmonary arterial hypertension (PAH) is a common complication of Congenital heart defects (CHD) withleft-to-right shunts, and PAH with increased pulmonary vascular resistance (PVR) is associated with considerablemorbidity and mortality. General anesthesia (GA) can be life-threatening in patients with PAH, becausethe positive pressure ventilation during GA increases pulmonary arterial pressure and decreases pulmonaryblood flow. This may also lead to hypoxia. Therefore, spontaneous ventilation may be safer than positive pressureventilation in patients with PAH.
A five-year-old male child, weighing 11 kg, with medical history showing a total correction of Tetralogy ofFallot (TOF) in 2009 and ongoing treatment with hypertension (HTN) medicine since 2007, visited theDankook University Dental Hospital. He had multiple dental caries, and the treatment was completed undersevoflurane insufflation sedation via nasal cannula. The patient remained sedated throughout the operationwhile maintaining normal vital signs and spontaneous respiration.
In conclusion, sevoflurane insufflation sedation may be a safer alternative to GA for the dental treatment ofpatients with PAH.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
/ 2010 / Conscious sedation with sevoflurane / Anaesthesia tutorial of the week : 188 ~
Carmosino MJ / 2007 / Perioperative complications in children with pulmonary hypertension under going noncardiac surgery or cardiac catheterization / Anesth Analg 104 : 521
De Sanctis Briggs V / 2005 / Magnetic resonance imaging under sedation in newborns and infants: a study of 640 cases using sevoflurane / Paediatr Anaesth 15 : 9 ~ 15
Fischer LG / 2003 / Management of pulmonary hypertension: physiological and pharmacological considerations for anesthesiologists / Anesth Analg 96 : 1603 ~ 1616
Flick RP / 2007 / Perioperative cardiac arrests in children between 1988 and 2005 at a tertiary referral center / Anesthesiology 106 : 226 ~ 237
Carmosino MJ / 2007 / Perioperative complications in children with pulmonary hypertension under going noncardiac surgery or cardiac catheterization / Anesth Analg 104 : 521
De Sanctis Briggs V / 2005 / Magnetic resonance imaging under sedation in newborns and infants: a study of 640 cases using sevoflurane / Paediatr Anaesth 15 : 9 ~ 15
Fischer LG / 2003 / Management of pulmonary hypertension: physiological and pharmacological considerations for anesthesiologists / Anesth Analg 96 : 1603 ~ 1616
Flick RP / 2007 / Perioperative cardiac arrests in children between 1988 and 2005 at a tertiary referral center / Anesthesiology 106 : 226 ~ 237
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