Use of ADMS™ during sedation for dental treatment of an intellectually disabled patient: a case report.
10.17245/jdapm.2016.16.3.217
- Author:
Seong In CHI
1
;
Hyun Jeong KIM
;
Kwang Suk SEO
;
Martin YANG
;
Juhea CHANG
Author Information
1. Department of Dental Anesthesiology, Seoul National University Dental Hospital, Seoul, Korea. stone90@snu.ac.kr
- Publication Type:Case Report
- Keywords:
ADMS;
Anesthesia depth monitoring;
Disabilities;
Propofol;
Sedation
- MeSH:
Adult;
Anesthesia;
Anesthesia, General;
Anoxia;
Blood Pressure Monitors;
Conscious Sedation;
Deep Sedation;
Dental Anxiety;
Electrocardiography;
Electroencephalography;
Female;
Humans;
Intellectual Disability;
Oximetry;
Oxygen;
Patient Safety;
Propofol
- From:Journal of Dental Anesthesia and Pain Medicine
2016;16(3):217-222
- CountryRepublic of Korea
- Language:English
-
Abstract:
Dental treatment is often performed under general anesthesia or sedation when an intellectually disabled patient has a heightened fear of treatment or has difficulty cooperating. When it is impossible to control the patient due to the severity of intellectual disability, conscious sedation is not a viable option, and only deep sedation should be performed. Deep sedation is usually achieved by propofol infusion using the target controlled infusion (TCI) system, with deep sedation being achieved at a slightly lower concentration of propofol in disabled patients. In such cases, anesthesia depth monitoring using EEG, as with a Bispectral Index (BIS) monitor, can enable dental treatment under appropriate sedation depth. In the present case, we performed deep sedation for dental treatment on a 27-year-old female patient with mental retardation and severe dental phobia. During sedation, we used BIS and a newly developed Anesthetic Depth Monitor for Sedation (ADMS™), in addition to electrocardiography, pulse oximetry, blood pressure monitoring, and capnometry for patient safety. Oxygen was administered via nasal prong to prevent hypoxemia during sedation. The BIS and ADMS™ values were maintained at approximately 70, and dental treatment was successfully performed in approximately 30 min..
