Journal of The Korean Dental Society of Anesthesiology (대한치과마취과학회지)

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
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Acute Respiratory Distress during Impression Taking in a TMJ Dislocation Patient with Pneumonia

폐렴을 동반한 턱관절 탈구환자에서 인상채득 중 유발된 급성 호흡장애

  • Son, Jeong-Seog (Department of Dentistry, Wonju Severance Christian Hospital, Yonsei University) ;
  • Oh, Ji-Hyeon (Department of Dentistry, Wonju Severance Christian Hospital, Yonsei University) ;
  • Yoo, Jae-Ha (Department of Dentistry, Wonju Severance Christian Hospital, Yonsei University) ;
  • Kim, Jong-Bae (Department of Dentistry, Dong San Medical Center, Keimyung University)
  • 손정석 (연세대학교 원주세브란스기독병원 치과학교실) ;
  • 오지현 (연세대학교 원주세브란스기독병원 치과학교실) ;
  • 유재하 (연세대학교 원주세브란스기독병원 치과학교실) ;
  • 김종배 (계명대학교 동산의료원 치과학교실)
  • Received : 2014.04.23
  • Accepted : 2014.07.03
  • Published : 2014.06.30
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Abstract

Difficulty in breathing can be very disconcerting to a patient who is conscious yet unable to breath normally. The common causes of acute respiratory distress include hyperventilation, vasodepressor syncope, asthma, heart failure, and hypoglycemia. In most of these situations, the patient does not exhibit respiratory distress unless an underlying medical disorder becomes acutely exacerbated. Examples of this include acute myocardial infarction, anaphylaxis, cerebrovascular accident, hyperglycemia, and hypoglycemia. A major factor that leads to the exacerbation of respiratory disorders is undue stress, either physiologic or psychologic. Psychologic stress in dentistry is the primary factor in the exacerbation of preexisting medical problems. Therefore, the most dental patient should be cared gently as the stress reduction protocol. This is a case report of acute respiratory distress with vasodepressor syncope during alginate impression taking of mandibular teeth in a long-standing temporomandibular joint dislocated 93-years-old pneumonic patient.

Keywords

References

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