Journal of Dental Anesthesia and Pain Medicine  2016;16(1):67-71

doi:10.17245/jdapm.2016.16.1.67

Deep sedation for dental treatment in a Down syndrome patient with Eisenmenger syndrome: A case report.

Seong In CHI 1 ; Hyun Jeong KIM ; Kwang Suk SEO

Affiliations

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Keywords

Deep sedation; Dental treatment; Down syndrome; Eisenmenger syndrome; Propofol; Remifentanil

Country

Republic of Korea

Language

English

Abstract

Eisenmenger syndrome (ES) is characterized by pulmonary arterial hypertension and right-to-left shunting. The signs and symptoms of ES include cyanosis, shortness of breath, fatigue, hemoptysis, and sudden death. In patients with ES, it is important that the systemic and pulmonary circulations be properly distributed and maintained. General dental treatment is not known to be particularly dangerous. To control pain and anxiety, local anesthetics without epinephrine are usually recommended. However, in cases of difficulty of cooperation, general anesthesia for dental treatment makes the condition worse. In the present case, intravenous deep sedation with propofol and remifentanil was administered for behavioral management during dental treatment successfully.