特发性细支气管炎伴机化性肺炎患者的日间手术麻醉。
Ambulatory Anesthesia for a Case of Idiopathic Bronchiolitis Obliterans.
机构信息
Dental Anesthesiology, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada.
Department of Dentistry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
出版信息
Anesth Prog. 2021 Jun 1;68(2):98-106. doi: 10.2344/anpr-68-01-05.
Bronchiolitis obliterans is rarely described in the nonlung transplant anesthesia literature. This case report describes a 27-year-old female patient with idiopathic bronchiolitis obliterans and dental anxiety who safely received intravenous deep sedation using diphenhydramine, dexmedetomidine, and ketamine in an ambulatory community dental clinic. This report outlines the anesthetic plan developed following a thorough preoperative assessment and review of the key anesthetic considerations of idiopathic bronchiolitis obliterans (eg, potential respiratory complications and appropriateness for the ambulatory dental environment) and discusses the careful anesthetic management of this patient using deep sedation to facilitate comprehensive restorative dentistry.
闭塞性细支气管炎在非肺移植麻醉文献中很少描述。本病例报告描述了一名 27 岁女性特发性闭塞性细支气管炎伴牙科焦虑症患者，在社区口腔诊所安全地接受了苯海拉明、右美托咪定和氯胺酮静脉深度镇静。本报告概述了在彻底的术前评估和特发性闭塞性细支气管炎的关键麻醉注意事项（例如，潜在的呼吸并发症和在日间牙科环境中的适宜性）审查后制定的麻醉计划，并讨论了使用深度镇静来促进全面修复牙科的谨慎麻醉管理。
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