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Multiple dental extractions using general anesthesia for a patient with Down and Eisenmenger syndromes and periodontal disease
Author(s) -
Bozich John G.,
Albert Thomas W.
Publication year - 1990
Publication title -
special care in dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.328
H-Index - 41
eISSN - 1754-4505
pISSN - 0275-1879
DOI - 10.1111/j.1754-4505.1990.tb01196.x
Subject(s) - eisenmenger syndrome , medicine , sedation , heart disease , disease , intensive care medicine , pediatrics , anesthesia , cardiology
A patient with Down syndrome and severe retardation and Eisenmenger syndrome sought dental treatment at the Oregon Health Sciences University Hospital Dental Service. Eisenmenger syndrome is a form of cyanotic congenital cardiovascular pulmonary disease. The cardiac structural abnormalities associated with Eisenmenger syndrome preclude the use of conscious sedation and predispose a patient to the development of bacterial endocarditis. A prophylactic antibiotic regimen is recommended for patients with Eisenmenger syndrome who are undergoing procedures that produce a transient bacteremia. This article reviews the appropriate measures necessary for the safe anesthetic, operative, and perioperative care of a severely compromised patient. It is based on an understanding of the patho physiology associated with Eisenmenger syndrome.