Intravenous Target Controlled Infusion Sedation for Patients with Amyotrophic Lateral Sclerosis: Case Report

근위축성 측삭경화증 환자(ALS)의 치과 진료 시 목표농도 주입법을 이용한 정주 진정 마취: 증례 보고

  • Doh, Re-Mee (Department of Advanced General Dentistry, Dental Hospital, Dankook University) ;
  • Kim, Seung-Oh (Department of Anesthesiology, Dental Hospital, Dankook University)
  • 도레미 (단국대학교 치과대학 부속치과병원 통합진료과) ;
  • 김승오 (단국대학교 치과대학 부속치과병원 치과마취과)
  • Received : 2012.09.19
  • Accepted : 2012.09.27
  • Published : 2012.09.30

Abstract

Amyotrophic lateral sclerosis (ALS) is one of the major neurodegenerative diseases that involves degeneration at all levels of the motor system- from the cortex to the anterior horn of the spinal cord. Patients with ALS often have difficulty of ambulation for dental treatment though they have poor oral hygiene state. General anesthesia may cause respiratory problem due to its high sensitivity to muscle relaxant and weakened upper airway. In this case report, 38-year-old female patient with ALS required many dental treatments. Conscious sedation with intravenous target controlled infusion method was successfully employed and patient was discharged without any complications.

Keywords

References

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