Document Detail


Multiple dental extractions using general anesthesia for a patient with Down and Eisenmenger syndromes and periodontal disease.
MedLine Citation:
PMID:  11100206     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A patient with Down syndrome and severe retardation and Eisenmenger syndrome sought dental treatment at the Oregon Health Sciences University Hospital Dental Service. Eisenmenger syndrome is a form of cyanotic congenital cardiovascular pulmonary disease. The cardiac structural abnormalities associated with Eisenmenger syndrome preclude the use of conscious sedation and predispose a patient to the development of bacterial endocarditis. A prophylactic antibiotic regimen is recommended for patients with Eisenmenger syndrome who are undergoing procedures that produce a transient bacteremia. This article reviews the appropriate measures necessary for the safe anesthetic, operative, and perioperative care of a severely compromised patient. It is based on an understanding of the pathophysiology associated with Eisenmenger syndrome.
Authors:
J G Bozich; T W Albert
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry     Volume:  10     ISSN:  0275-1879     ISO Abbreviation:  Spec Care Dentist     Publication Date:    1990 Mar-Apr
Date Detail:
Created Date:  2000-12-06     Completed Date:  2000-12-22     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8103755     Medline TA:  Spec Care Dentist     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  51-4     Citation Subset:  D    
Affiliation:
Hospital Dental Service, Oregon Health Sciences University, Portland 97201-3098, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anesthesia, Dental*
Anesthesia, General*
Anti-Bacterial Agents / therapeutic use
Antibiotic Prophylaxis
Down Syndrome / complications*
Eisenmenger Complex / complications*
Endocarditis, Bacterial / prevention & control
Female
Follow-Up Studies
Humans
Periodontal Diseases / complications*,  therapy
Tooth Extraction*
Vancomycin / therapeutic use
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 1404-90-6/Vancomycin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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