Journal of Dental Anesthesia and Pain Medicine

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
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Primary tooth aspiration during conscious sedation with N2O: foreign body removal with rigid bronchoscopy

  • Yeeun Jo (Department of Oral & Maxillofacial Surgery, Samsung Medical Center) ;
  • Kyungmin Rim (Department of Oral & Maxillofacial Surgery, Samsung Medical Center) ;
  • Dohyun Kwon (Department of Oral & Maxillofacial Surgery, Samsung Medical Center) ;
  • Jaemyung Ahn (Department of Oral & Maxillofacial Surgery, Samsung Medical Center) ;
  • Jun-Young Paeng (Department of Oral & Maxillofacial Surgery, Samsung Medical Center)
  • Received : 2024.04.16
  • Accepted : 2024.05.23
  • Published : 2024.06.01
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Abstract

A 7-year-old girl visited the Samsung Medical Center emergency room for primary tooth aspiration during primary tooth extraction under conscious sedation with N2O. The patient showed no signs of respiratory complications. Chest radiography and CT revealed a tooth in the right bronchi. Foreign body removal using rigid bronchoscopy was performed on the day of aspiration. With close monitoring of the airway in the pediatric ICU, extubation was performed the next day, and the patient was discharged the same day. The primary objective of this case report was to highlight the potential risk of aspiration associated with the use of N2O gas for conscious sedation.

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References

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