The Journal of Korea Assosiation for Disability and Oral Health (대한장애인치과학회지)

Korean Association for Disability and Oral Health (대한장애인치과학회)
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INTRAVENOUS SEDATION OF CEREBRAL PALSY PATIENT FOR DENTAL IMPLANT CT TAKING -A CASE REPORT

정신지체가 동반된 뇌성마비 환자의 임플란트 치료를 위한 CT 촬영 시 진정법 시행 -증례보고-

  • Seo, Kwang-Suk (Department of Dental Anesthesiology, Seoul National University, School of Dentistry) ;
  • Lee, Ju-Hwan (Department of Oral and Maxillofacial Surgery, Seoul National University, School of Dentistry) ;
  • Shin, Teo-Jeon (Department of Dental Anesthesiology, Seoul National University, School of Dentistry) ;
  • Yi, Young-Eun (Department of Dental Anesthesiology, Seoul National University, School of Dentistry) ;
  • Kim, Hyun-Jeong (Department of Dental Anesthesiology, Seoul National University, School of Dentistry) ;
  • Yum, Kwang-Won (Department of Dental Anesthesiology, Seoul National University, School of Dentistry) ;
  • Kim, Myung-Jin (Department of Oral and Maxillofacial Surgery, Seoul National University, School of Dentistry)
  • 서광석 (서울대학교 치의학대학원 치과마취과학교실) ;
  • 이주환 (서울대학교 치의학대학원 구강악안면외과학교실) ;
  • 신터전 (서울대학교 치의학대학원 치과마취과학교실) ;
  • 이영은 (서울대학교 치의학대학원 치과마취과학교실) ;
  • 김현정 (서울대학교 치의학대학원 치과마취과학교실) ;
  • 염광원 (서울대학교 치의학대학원 치과마취과학교실) ;
  • 김명진 (서울대학교 치의학대학원 구강악안면외과학교실)
  • Published : 2008.06.30
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Abstract

A 33-years-old female pateint with cerebral palsy showing spastic quardriplegia and severe mental retardation was scheduled for dental implant restorations. Before implant surgery we had to take implant CT. But, because of her involuntary motion and communication difficulty, sedation was needed in order to take CT. After 8 hour NPO, propofol infusion sedation with TCI (target controlled infusion) system was administered. The propofol blood concentration of the patient was maintained 2-3 ${\mu}$/ml to keep deep sedation to prevent uncontolled movement. During sedation, we monitored ECG, pulse oximetry, blood pressure, capnometry for patient safety. Oxygen was administered via nasal prong for preventing hypoxemia and to keep airway during sedation some bands were applied to lift mandible. Total duration was 20 minutes for taking CT, and she was discharged from hospital after 30 minute rest without complication.

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