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논문 기본 정보

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학술저널
저자정보
Lee, Brian Seonghwa (Department of Dental Anesthesiology, School of Dentistry, Seoul National University) Shin, Teo Jeon (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) Kim, Hyun-Jeong (Department of Dental Anesthesiology, School of Dentistry, Seoul National University) Choi, Yoon Ji (Department of Dental Anesthesiology, School of Dentistry, Seoul National University) Lee, Soo Eon (Department of Dental Anesthesiology, School of Dentistry, Seoul National University) Chang, Juhea (Clinic for Persons with Disabilities, Seoul National University Dental Hospital) Seo, Kwang-Suk (Department of Dental Anesthesiology, School of Dentistry, Seoul National University)
저널정보
대한치과마취과학회 Journal of dental anesthesia and pain medicine Journal of dental anesthesia and pain medicine 제14권 제3호
발행연도
2014.1
수록면
167 - 172 (6page)

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Background: Propofol is the most commonly used anesthetic for sedation and target-controlled infusion (TCI) is useful for dental treatment. However, it is important to assess and maintain an adequate depth of sedation in patients with severe intellectual disabilities Therefore, in this study we aimed to evaluate the adequate propofol target concentration for dental treatment in severely intellectually disabled patients. Methods: We undertook retrospective review of the sedation records of severely intellectually disabled patients who underwent dental treatment under TCI propofol sedation from September 2011 to April 2012. We evaluated the initial target concentration, stabilized concentration of propofol and monitored vital signs, including BIS score using sedation records. Results: Total 20 patients (10 male and 10 female patients) were included in the study. Every participant was severely intellectually disabled. The mean sedation duration was $70{\pm}16$ (45-100) minutes. The initial propofol target concentration infusion amount was $2.7{\pm}0.45$ (2.0-3.0) mcg/ml. The propofol effect site concentration (Ce) was $2.6{\pm}0.7$ (1.0-4.0) mcg/ml. The average value of BIS was $52.6{\pm}13$ (28-81). During the treatment period, there were no severe complications. Conclusions: The average propofol Ce for deep sedation without any complications in intellectually disabled patients was 2.6 mcg/ml.
#Deep sedation #Mentally disabled persons #Propofol

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참고문헌 (13)

참고문헌 신청
Bonito AJ / 2002 / Executive summary: dental care considerations for vulnerable populations / Spec Care Dentist 22(3Suppl):5S~10S google schola Romer M / 2009 / Consent, restraint, and people with special needs: a review / Spec Care Dentist 29(1):58~66 google schola American Academy of Pediatric Dentistry / 2012 / Clinical Affairs Committee-Sedation and General Anesthesia Subcommittee:Guideline on use of anesthesia personnel in the administration of office-based deep sedation/general anesthesia to the pediatric dental patient / Pediatr Dent 34(5):170~172 google schola Caputo AC / 2009 / Providing deep sedation and general anesthesia for patients with special needs in the dental office-based setting / Spec Care Dentist 29(1):26~30 google schola Manley MC / 2000 / Dental treatment for people with challenging behaviour: general anaesthesia or sedation? / Br Dent J 188(7):358~360 google schola

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