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右美托咪定输注用于ASA IV级患者的常规牙科治疗:一例病例报告

Dexmedetomidine Infusion for Routine Dental Management of an ASA IV Patient: A Case Report.

作者信息

Young Andrew S, Russell Nicholas A, Giovannitti Joseph A

机构信息

Department of Dental Anesthesiology, University of Pittsburgh School of Dental Medicine, Pittsburgh, Pennsylvania.

出版信息

Anesth Prog. 2017 Summer;64(2):88-96. doi: 10.2344/anpr-64-02-08.

DOI:10.2344/anpr-64-02-08
PMID:28604086
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5467763/
Abstract

Anesthetic management of elderly patients requires numerous physiological considerations. With aging, degenerative changes occur in the structure and functional capacity of tissues and organs. Typically, these patients experience clinical effects with lower doses of medication. Important considerations for the geriatric populations following anesthesia include increased time to recovery and avoidance of functional decline. A case is reported in which an 83-year-old Caucasian female with a complex medical history presented for routine dental treatment under intravenous sedation via dexmedetomidine infusion.

摘要

老年患者的麻醉管理需要考虑众多生理因素。随着年龄增长,组织和器官的结构及功能能力会发生退行性变化。通常,这些患者使用较低剂量的药物就会出现临床效果。老年人群麻醉后的重要注意事项包括恢复时间延长以及避免功能衰退。本文报告了一例病例,一名83岁有复杂病史的白人女性因常规牙科治疗接受经右美托咪定输注的静脉镇静。

相似文献

1
Dexmedetomidine Infusion for Routine Dental Management of an ASA IV Patient: A Case Report.右美托咪定输注用于ASA IV级患者的常规牙科治疗:一例病例报告
Anesth Prog. 2017 Summer;64(2):88-96. doi: 10.2344/anpr-64-02-08.
2
Dexmedetomidine: A Review of a Newer Sedative in Dentistry.右美托咪定:牙科新型镇静剂综述
J Clin Pediatr Dent. 2015 Fall;39(5):401-9. doi: 10.17796/1053-4628-39.5.401.
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Sedation With a Combination of Dexmedetomidine and Midazolam for Pediatric Dental Surgery.右美托咪定与咪达唑仑联合用于小儿牙科手术的镇静作用
Anesth Prog. 2018 Summer;65(2):124-126. doi: 10.2344/anpr-65-03-14.
4
[Dexmedetomidine: new opportunities in anesthesiology].[右美托咪定:麻醉学中的新机遇]
Anesteziol Reanimatol. 2013 Jan-Feb(1):37-41.
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[Ambulatory anesthesia for an adult patient with autism and epilepsy: sedation using oral and intravenous dexmedetomidine].[一名患有自闭症和癫痫的成年患者的门诊麻醉:使用口服和静脉注射右美托咪定进行镇静]
Masui. 2008 Jun;57(6):735-8.
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Perioperative uses of dexmedetomidine.右美托咪定的围手术期应用。
Int Anesthesiol Clin. 2013 Spring;51(2):81-96. doi: 10.1097/AIA.0b013e31828d58c7.
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Comparison of dexmedetomidine and midazolam for conscious sedation in dental surgery monitored by bispectral index.右美托咪定与咪达唑仑用于牙科手术中脑电双频指数监测下清醒镇静的比较。
Br J Oral Maxillofac Surg. 2013 Jul;51(5):428-33. doi: 10.1016/j.bjoms.2012.08.013. Epub 2012 Oct 8.
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A comparison of intravenous sedation with two doses of dexmedetomidine: 0.2 µg/kg/hr Versus 0.4 µg/kg/hr.两种剂量右美托咪定静脉镇静的比较:0.2微克/千克/小时与0.4微克/千克/小时。
Anesth Prog. 2010 Fall;57(3):96-103. doi: 10.2344/0003-3006-57.3.96.
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[Preoperative sedation with dexmedetomidine in patients with aneurysmal subarachnoid hemorrhage].
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Intravenous sedation for implant surgery: midazolam, butorphanol, and dexmedetomidine versus midazolam, butorphanol, and propofol.种植牙手术的静脉镇静:咪达唑仑、布托啡诺和右美托咪定与咪达唑仑、布托啡诺和丙泊酚的比较。
J Oral Implantol. 2014 Feb;40(1):94-102. doi: 10.1563/AAID-JOI-D-11-00200. Epub 2011 Dec 29.

本文引用的文献

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Alpha-2 adrenergic receptor agonists: a review of current clinical applications.α-2肾上腺素能受体激动剂:当前临床应用综述
Anesth Prog. 2015 Spring;62(1):31-9. doi: 10.2344/0003-3006-62.1.31.
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Anesthesia for the elderly outpatient.老年门诊患者的麻醉
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Aging and physiological changes of the kidneys including changes in glomerular filtration rate.肾脏的衰老和生理变化包括肾小球滤过率的变化。
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Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: an updated report by the American Society of Anesthesiologists Committee on Standards and Practice Parameters.术前禁食及使用药物降低肺误吸风险的实践指南:适用于接受择期手术的健康患者:美国麻醉医师协会标准与实践参数委员会的最新报告
Anesthesiology. 2011 Mar;114(3):495-511. doi: 10.1097/ALN.0b013e3181fcbfd9.
5
General anaesthesia in elderly patients with cardiovascular disorders: choice of anaesthetic agent.老年心血管疾病患者的全身麻醉:麻醉药物的选择。
Drugs Aging. 2010 Apr 1;27(4):265-82. doi: 10.2165/11534990-000000000-00000.
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Anesthesia for the elderly.老年人麻醉
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Postoperative complications and mortality in older patients having non-cardiac surgery at three Melbourne teaching hospitals.墨尔本三家教学医院老年患者非心脏手术的术后并发症及死亡率
Med J Aust. 2007 May 7;186(9):447-52. doi: 10.5694/j.1326-5377.2007.tb00994.x.
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Dexmedetomidine: a novel sedative-analgesic agent.右美托咪定:一种新型镇静镇痛药。
Proc (Bayl Univ Med Cent). 2001 Jan;14(1):13-21. doi: 10.1080/08998280.2001.11927725.
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ASA classification and perioperative variables as predictors of postoperative outcome.美国麻醉医师协会(ASA)分级及围手术期变量作为术后结局的预测指标
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