대한치과마취과학회지 (Journal of The Korean Dental Society of Anesthesiology)

  • 제2권2호
  • /
  • Pages.107-113
  • /
  • 2002
  • /
  • 1598-4044(pISSN)
  • /
  • 2383-7039(eISSN)
대한치과마취과학회 (The Korean Dental Society of Anesthsiology)
권호 표지

급성 치성감염 병소에서 국소마취 중 유발된 과환기 -증례 보고-

Hyperventilation During Local Anesthesia in Acute Odontogenic Infectious Lesion - Report of two cases -

  • 유재하 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
  • 김현실 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
  • 백성흠 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
  • 유태민 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
  • 이지웅 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
  • 정원균 (연세대학교 원주의과대학 치위생학과)
  • Yoo, Jae-Ha (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University (Wonju Christian Hospital)) ;
  • Kim, Hyun-Sil (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University (Wonju Christian Hospital)) ;
  • Baek, Sung-Hum (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University (Wonju Christian Hospital)) ;
  • Yoo, Tae-Min (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University (Wonju Christian Hospital)) ;
  • Lee, Ji-Woong (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University (Wonju Christian Hospital)) ;
  • Chung, Won-Gyun (Department of Dental Hygiene, Yonsei University Wonju College of Medicine)
  • 발행 : 2002.12.30
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초록

Hyperventilation is defined as ventilation in excess of that required to maintain normal blood $PaO_2$ and $PaCO_2$. It is produced by several distinct causes: anxiety, respiratory alkalosis, increased blood catecholamine levels, and a decrease in the level of the ionized calcium in the blood. The dental fears about acute pain, needle, drill and dental surgery lead to the severe anxiety and increased blood catecholamine level. Therefore, the most dental patient should be cared gently as the stress reduction protocol. In spite of the gentle care, two cases of hyperventilation were occurred during local anesthesia for incision and drainage of acute odontogenic infectious lesions. We suggest that the dental patients with acute odontogenic infection must be attention for the manifestation of hyperventilation, especially in the medically compromised conditions.

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