| Item type |
松本歯学/学術雑誌論文 / Journal Article(1) |
| 公開日 |
2020-07-22 |
| タイトル |
|
|
タイトル |
General anesthetic management of six cases with progressive muscular dystrophy for dental treatment |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Progressive muscular dystrophy(PMD) |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
general anesthesia |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
dental treatment |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| その他（別言語等）のタイトル |
|
|
その他のタイトル |
進行性筋ジストロフィー患者6症例の歯科治療のための全身麻酔管理 |
| 著者 |
小川, さおり
谷山, 貴一
上田, 敬介
澁谷, 徹
|
| 著者別名 |
OGAWA, SAORI
TANIYAMA, KIICHI
UEDA, KEISUKE
SHIBUTANI, TOHRU
|
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Progressive muscular dystrophy (PMD) is a hereditary disease showing degeneration and necrosis of muscle fiber and progressive muscle weakness. PMD includes Duchenne and Becker types, in addition to limb–girdle and Fukuyama types. We report six cases of PMD (two cases of Duchenne type and four cases of Fukuyama type) treated since 2000 to 2019, in which general anesthesia was performed for intensive dental treatment.The serum level of creatine phosphokinase (CPK) was remarkably higher than normal level in every patients. No remarkable findings in chest x–ray and ECG were pointed.For patients with Duchenne type PMD,anesthesia was induced with propofol and nondepolarizing muscle relaxants,and maintained with nitrous oxide and propofol.For patients with Fukuyama type PMD, anesthesia was induced with sevoflurane in every patients and no muscle relaxant was used. Anesthesia was maintained with nitrous oxide in combination with sevoflurane in three cases, and it was maintained with nitrous oxide and propofol in another case.No remarkable cardiovascular and respiratory dysfunctions were pointed in every patients.The problems for the management of general anesthesia in patients with PMD are(1)circulatory failure due to myocardial damage,(2)respiratory failure due to respiratory dysfunction,(3)induction of malignant hyperthermia due to agents for general anesthesia, and(4) increased sensitivity and prolonged effects of muscle relaxants. In patients with Duchenne type PMD,volatile inhalation anesthetics were not used,which considered to be a risk factor for malignant hyperthermia.On the other hand, in patients with Fukuyama type PMD,we used sevoflurane since the incidence of malignant hyperthermia by volatile inhalation anesthetic will be low. |
| 書誌情報 |
松本歯学
en : Journal of the Matsumoto Dental University Society
巻 46,
号 1,
p. 16-22,
発行日 2020-07-22
|
| 出版者 |
|
|
出版者 |
松本歯科大学学会 |
| ISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
2188-7233 |
| 書誌レコードID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA12684554 |
| フォーマット |
|
|
内容記述タイプ |
Other |
|
内容記述 |
application/pdf |
| 著者版フラグ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
本文 (783.5 kB)
