대한치과마취과학회지 (Journal of The Korean Dental Society of Anesthesiology)

  • 제11권1호
  • /
  • Pages.32-37
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  • 2011
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  • 1598-4044(pISSN)
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  • 2383-7039(eISSN)
대한치과마취과학회 (The Korean Dental Society of Anesthsiology)
권호 표지

정주진정 하에 매복치 발거 시 발생된 Pulsus Paradoxus (Severe Airway Obstruction) -증례보고-

Pulsus Paradoxus During Extraction of Impacted Tooth under Intravenous Sedation -A Case Report-

  • 전새로미 (단국대학교 치과대학 부속 치과병원 소아치과) ;
  • 김종수 (단국대학교 치과대학 부속 치과병원 소아치과) ;
  • 김승오 (단국대학교 치과대학 부속 치과병원 치과마취과)
  • Jun, Sae-Ro-Mi (Department of Pediatric Dentistry, Dental Hospital, Dankook University) ;
  • Kim, Jong-Soo (Department of Pediatric Dentistry, Dental Hospital, Dankook University) ;
  • Kim, Seung-Oh (Department of Anesthesiology, Dental Hospital, Dankook University)
  • 투고 : 2011.06.10
  • 심사 : 2011.06.17
  • 발행 : 2011.06.30
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초록

Pulsus paradoxus has been defined as a decrease in systolic blood pressure (SBP) of 10 mmHg or more during inspiration. This report describes pulsus paradoxus detected by pulse oximetry during dental procedure. Case: A 10 years old boy who had impacted mandibular premolar with malformation scheduled for extraction under intravenous sedation with Fentanyl and Propofol. The patient showed upper airway obstruction with stridor and pulsus paradoxus. Though pulsus paradoxus is generally critical condition, in this case, respiration and other vital sign was maintained comparatively well with care in administering oxygen and considerate monitoring of pulse oximetry and capnography. Discussion: Noninvasive continuous monitoring of pulse oximetry allows recognition of pulsus paradoxus which can lead to serious problems. Clinicians should know very well about it and be able to manage of this kind of situation.

키워드

참고문헌

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