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.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한치과마취과학회 Journal of dental anesthesia and pain medicine Journal of dental anesthesia and pain medicine 제14권 제1호
- 발행연도
- 2014.1
- 수록면
- 63 - 71 (9page)
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초록· 키워드
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Extension of advanced odontogenic infection from deep neck fascial spaces into the mediastinum is heralded by chest pain, dyspnea, fever, and radiographic demonstration of mediastinal widening. The critical care should be done in a team approach by multiple medical and dental departments, such as, oral & maxillofacial surgery, otolaryngology, anesthesiology, chest surgery, and infection medicine. Especially, fluid & drug therapy, adequate incision & drainage and systemic supportive psychosedation care are important. But, acute hyperventilation can be produced by several distinct causes: severe anxiety, respiratory alkalosis, increased blood catecholamine levels, and a decrease in the level of the ionized calcium in the blood. The orofacial fears about acute pain, trismus, dysphagia, swelling and oral surgical treatment lead to the severe anxiety and increased blood catecholamine level by stress. Therefore, the most dental patient should be cared gently as the stress reduction protocol. In spite of the care, hyperventilation was occurred during psychosedation and local anesthesia for incision and drainage of the masticatory fascial space abscess with deep neck infection & mediastinitis. We suggest that the dental patient with advanced odontogenic infection must be attention for the manifestation of hyperventilation, especially in the medically compromised conditions.
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참고문헌 (19)
참고문헌 신청
Malamed SF / 1993 / Medical emergencies in the dental office, 4th ed / CV Mosby :1~49
Missri JC / 1978 / Hyperventilation syndrome: A brief review / JAMA 240:2093~2096
McCarthy FM / 1982 / Medical emergencies in dentistry / WB Saunders :220~343
Kim J / 2007 / Clinical guideline of dental treatment for medically compromised patient / Koon Ja Publishing Co :3~32
Kang HS / 2007 / Contemporary oral and maxillofacial surgery / Ko Moon Sa :214~228
Missri JC / 1978 / Hyperventilation syndrome: A brief review / JAMA 240:2093~2096
McCarthy FM / 1982 / Medical emergencies in dentistry / WB Saunders :220~343
Kim J / 2007 / Clinical guideline of dental treatment for medically compromised patient / Koon Ja Publishing Co :3~32
Kang HS / 2007 / Contemporary oral and maxillofacial surgery / Ko Moon Sa :214~228
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