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간이식 예정인 간부전 환아의 치과치료 시 마취관리
Anesthetic Management of the Dental Treatment in a Child with Liver Failure Scheduled for Liver Transplantation

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Authors
박창주; 장기택; 김현정; 염광원
Issue Date
2002
Publisher
대한치과마취과학회
Citation
대한치과마취과학회지 2002; 2: 114-117
Keywords
AnesthesiaGeneral; Dental careHepatitisLiver failure
Abstract
Special anesthetic considerations were required for children with acute or chronic liver disease. We experienced a case of dental treatment to control infection under general anesthesia in the 2-year-old girl with liver failure. She was also scheduled for liver tansplantation. Her preanesthetic results of liver function test, electrolytes, and coagulation panel were unstable and out of normal ranges. Uneventful anesthetic induction using isoflurane and atracurium and nasotracheal intubation were carried out. General anesthesia was maintained with isoflurane for 2 hours. Oozing from multiple extraction sites was sustained, so the transfusion of platelet concentration 1 units, fresh frozen plasma 1 unit, and packed red blood cell 1 unit was done. She was recovered without complication but was transferred to pediatric intensive care unit for wound care with her endotracheal tube kept. She was transferred to a ward without noticeable complications next day. So we report this successful case of anesthetic management for dental treatment in a child with liver failure.
ISSN
1598-4044
Language
Korean
URI
http://uci.or.kr/G100:I100-KOI(KISTI1.1003/JNL.JAKO200206142261290)

http://hdl.handle.net/10371/47340
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College of Dentistry/School of Dentistry (치과대학/치의학대학원)Dept. of Dentistry (치의학과)Journal Papers (저널논문_치의학과)
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