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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

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학술저널
저자정보
Lim, Seon Woo (Department of Dental Anesthesiology, Seoul National University, School of Dentistry) So, Eunsun (Department of Dental Anesthesiology, Seoul National University Dental Hospital) Yun, Hye Joo (Department of Dental Anesthesiology, Seoul National University Dental Hospital) Karm, Myong-Hwan (Department of Dental Anesthesiology, Seoul National University Dental Hospital) Chang, Juhea (Special Care Clinic, Seoul National University Dental Hospital) Lee, Hanbin (Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital) Kim, Hyun Jeong (Department of Dental Anesthesiology, Seoul National University, School of Dentistry) Seo, Kwang-Suk (Department of Dental Anesthesiology, Seoul National University, School of Dentistry)
저널정보
대한치과마취과학회 Journal of dental anesthesia and pain medicine Journal of dental anesthesia and pain medicine 제18권 제4호
발행연도
2018.1
수록면
245 - 254 (10page)

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Background: When performing dental treatment under general anesthesia in adult patients who have difficulty cooperating due to intellectual disabilities, anesthesia induction may be difficult as well. In particular, patients who refuse to come into the dental office or sit in the dental chair may have to be forced to do so. However, for adult patients with a large physique, physical restraint may be difficult, while oral sedatives as premedication may be helpful. Here, a retrospective analysis was performed to investigate the effect of oral sedatives. Methods: A hospital-based medical information database was searched for patients who were prescribed oral midazolam or triazolam between January 2009 and December 2017. Pre-anesthesia evaluation, anesthesia, and anesthesia recovery records of all patients were analyzed, and information on disability type, reason for prescribing oral sedatives, prescribed medication and dose, cooperation level during anesthesia induction, anesthesia duration, length of recovery room stay, and complications was retrieved. Results: A total of 97 patients were identified, of whom 50 and 47 received midazolam and triazolam, respectively. The major types of disability were intellectual disabilities, autism, Down syndrome, blindness, cerebral palsy, and epilepsy. Analyses of changes in cooperation levels after drug administration showed that anesthesia induction without physical restraint was possible in 56.0% of patients in the midazolam group and in 46.8% of patients in the triazolam group (P = 0.312). Conclusions: With administration of oral midazolam or triazolam, general anesthesia induction without any physical restraint was possible in approximately 50% of patients, with no difference between the drugs.
#Dental Treatment #General Anesthesia #Intellectual Disability #Midazolam #Sedative Premedication #Triazolam

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참고문헌 (26)

참고문헌 신청
Mathew Albert Wei Ting Lim / 2017 / The use of general anesthesia to facilitate dental treatment in adult patients with special needs / Journal of Dental Anesthesia and Pain Medicine 17(2):91~103 Crossref Haywood PT / 1998 / General anesthesia for disabled patients in dental practice / Anesth Prog 45:134~138 google schola 서광석 / 2009 / 장애인 환자의 치과치료를 위한 전신마취 시 협조도와 마취 유도 방법에 대한 통계적 고찰 / Journal of Dental Anesthesia and Pain Medicine 9(1):9~16 dbpia Christiansen E / 2005 / Induction of anesthesia in a combative child; management and issues / Paediatr Anaesth 15:421~425 google schola American Dental Association / 2007 / Guidelines for the use of sedation and general anesthesia by dentists google schola

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