Journal of Dental Anesthesia and Pain Medicine

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
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Pulseless electrical activity during general anesthesia induction in patients with amyotrophic lateral sclerosis

  • You, Tae Min (Department of Advanced General Dentistry, School of Dentistry, Dankook University) ;
  • Kim, Seungoh (Department of Anesthesiology, School of Dentistry, Dankook University)
  • Received : 2017.09.11
  • Accepted : 2017.09.20
  • Published : 2017.09.30
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Abstract

Pulseless electrical activity (PEA) is a clinical condition characterized by unresponsiveness and lack of palpable pulse in the presence of organized cardiac electrical activity and is caused by a profound cardiovascular insult (e.g., severe prolonged hypoxia or acidosis, extreme hypovolemia, or flow-restricting pulmonary embolus). Amyotrophic lateral sclerosis (ALS) is a disease that is characterized by progressive degeneration of all levels of the motor nervous system. Damage to the respiratory system and weakness of the muscles may increase the likelihood of an emergency situation occurring in patients with ALS while under general anesthesia. We report a case of PEA during the induction of general anesthesia in a patient with ALS who presented for dental treatment and discuss the causes of PEA and necessary considerations for general anesthesia in patients with ALS.

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References

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  1. Cardiac arrest due to an unexpected acute myocardial infarction during head and neck surgery: A case report vol.18, pp.1, 2017, https://doi.org/10.17245/jdapm.2018.18.1.57
  2. Amyotrophic lateral sclerosis and anesthesia: a case series and review of the literature vol.33, pp.2, 2017, https://doi.org/10.1007/s00540-019-02611-x