Application of Monitored Anesthesia Care Using Dexmedetomidine to Common Oral and Maxillofacial Trauma Cases
10.5856/JKDS.2017.10.2.82
- Author:
Deok Won LEE
1
;
Min Cheol SHIN
;
Sung ok HONG
Author Information
1. Department of Oral and Maxillofacial Surgery, Kyung Hee University Dental Hospital at Gangdong, Korea.
- Publication Type:Case Report
- Keywords:
Anesthesia;
Dexmedetomidine;
Fracture reduction;
Ketamine;
Maxillofacial surgery
- MeSH:
Anesthesia;
Anesthesia, General;
Dexmedetomidine;
Humans;
Ketamine;
Mandibular Fractures;
Methods;
Surgery, Oral
- From:Journal of Korean Dental Science
2017;10(2):82-86
- CountryRepublic of Korea
- Language:English
-
Abstract:
Oral and maxillofacial surgery (OMFS) trauma cases are commonly treated under general anesthesia. The purpose of this case report is to introduce an alternative method of anesthesia in patients who refuse general anesthesia. A combination of dexmedetomidine and ketamine for sedation anesthesia in 3 frequent fracture types in the field of OMFS—Le Fort I fracture, mandibular fracture, and alveolar bone fracture—was used. Dexmedetomidine as the single agent has not shown stable success rates for invasive procedures. To overcome some of the pitfalls with dexmedetomidine, combination sedation using ketamine was performed. Visual analogue scale scores were recorded postoperatively. Dexmedetomidine combined with ketamine administration provided safe and effective sedation and anxiolysis for surgical reduction and internal fixation of OMFS fractures. It showed advantages of decreased admission time, reduced expenses, minimal pain, and reduced anesthetic burden for the patient thus ultimately increasing overall satisfaction.
