| Use of moderate sedation for a patient with Down syndrome, intellectual disability, and Eisenmenger syndrome: a case report. | |
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MedLine Citation:
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PMID: 21235613 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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For patients who have Eisenmenger syndrome (ES), perioperative risks are high even for noncardiac surgery, such as dental extractions. We report on the case history of a 38-year-old male patient with Down syndrome (DS), intellectual disability (ID), and ES. The patient was scheduled for extraction of the right maxillary second molar tooth. His physical health was poor. Following oxygenation, midazolam was administered intravenously very slowly until the optimum sedative level was obtained, with a total dosage of 3.5 mg. There were no marked changes in vital signs during the perioperative period, and the patient was discharged the same day. This case suggests that moderate or conscious sedation using midazolam for dental treatment of a patient with DS, ID, and ES was well tolerated. Several critical points are presented in this review. |
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Authors:
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Teruhito Kunimatsu; Setsue Greenan; Anzu Yamashita; Toshiharu Yamamoto; Masakazu Ikeda |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-12-28 |
Journal Detail:
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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: 31 ISSN: 1754-4505 ISO Abbreviation: Spec Care Dentist Publication Date: 2011 Jan-Feb |
Date Detail:
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Created Date: 2011-01-17 Completed Date: 2011-05-10 Revised Date: 2011-07-08 |
Medline Journal Info:
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Nlm Unique ID: 8103755 Medline TA: Spec Care Dentist Country: United States |
Other Details:
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Languages: eng Pagination: 41-3 Citation Subset: D |
Copyright Information:
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©2010 Special Care Dentistry Association and Wiley Periodicals, Inc. |
Affiliation:
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Division of Dental Anesthesiology, Department of Comprehensive Dentistry, Kanagawa Dental College, Yokohama Dental and Medical Clinic and Clinical Training Center, Yokohama, Kanagawa, Japan. teruhito@kdcnet.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anesthesia, Dental / methods* Conscious Sedation* / methods Dental Care for Disabled* Down Syndrome* / complications Eisenmenger Complex / complications* Humans Hypnotics and Sedatives Male Mental Retardation / complications Midazolam / administration & dosage Tooth Extraction* |
| Chemical | |
Reg. No./Substance:
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0/Hypnotics and Sedatives; 59467-70-8/Midazolam |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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