정신지체 환아의 치과치료를 위한 외래마취관리 -증례보고-

Anesthetic Management of a Mentally Retarded Child during Dental Treatment -A case report -

  • 서광숙 (서울대학교 치과대학 치과마취과학교실) ;
  • 구미숙 (서울대학교 의과대학 마취과학교실) ;
  • 김현정 (서울대학교 치과대학 치과마취과학교실) ;
  • 염광원 (서울대학교 치과대학 치과마취과학교실)
  • Seo, kwang-Suk (Department of Dental Anesthesiology, Seoul National University College of Dentistry) ;
  • Koo, Mi-Suk (Department of Anesthesiology, Seoul National University College of Medicine) ;
  • Kim, Hyun-Jeong (Department of Dental Anesthesiology, Seoul National University College of Dentistry) ;
  • Yum, Kwang-Won (Department of Dental Anesthesiology, Seoul National University College of Dentistry)
  • 발행 : 2005.09.24

초록

General anesthesia is often required for mentally retarded children undergoing extensive dental treatment. We experienced a case of dental treatment under general anesthesia in a 14-year-old boy with mental retardation. He was treated on an outpatient basis. He was diagnosed of Noonan syndrome and received heart surgery when he was six years old. Induction using thiopental and vecuronium was uneventful and nasotracheal intubation were carried out. General anesthesia was maintained with sevoflurane for 2.5 hours. After monitoring the patient for 2 hours and confirming his recovery, he was discharged from the day care unit. In summary, we report this successful anesthetic management of a mentally retarded child during dental treatment in as an out-patient.

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