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Anesthetic Management of an Amyotrophic Lateral Sclerosis Patient Undergoing Dental Care in Daysurgery Center  

Kim, Han-Su (Department of Dental Anesthesiology, Dental Hospital, Dankook University)
Lee, Suk-Yung (Department of Dental Anesthesiology, Dental Hospital, Dankook University)
Choi, Eun-Hye (Department of Advanced General Dentistry, Dental Hospital, Dankook University)
Kim, Seung-Oh (Department of Dental Anesthesiology, Dental Hospital, Dankook University)
Publication Information
Journal of The Korean Dental Society of Anesthesiology / v.13, no.4, 2013 , pp. 195-201 More about this Journal
Abstract
Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease caused by the degeneration of upper and lower motor neurons. The disorder causes muscle weakness and atrophy in airway muscles including pharyngeal, laryngeal and other respiratory muscles. The response to muscle realxant is also altered in patients with ALS. Because of the inherent muscle weakness and associated respiratory insufficiency, particular attentions are needed in anesthetic management of ALS patients. We used proper doses of inhalation anesthetics and opioids under EEG-entropy (electroencephalography-entropy)-monitoring without the use of muscle realxants in the anesthetic management of a patient with ALS. The patient early recovered and was discharged on the same day without any respiratory complications.
Keywords
Amyotrophic lateral sclerosis; Dental care; EEG-entropy; Muscle relaxant;
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Times Cited By KSCI : 1  (Citation Analysis)
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