Journal List > J Korean Dent Soc Anesthesiol > v.11(1) > 1084301

TOOLS
Jun, Kim, and Kim: Pulsus Paradoxus During Extraction of Impacted Tooth under Intravenous Sedation: A Case Report
Case Report

Journal of the Korean Dental Society of Anesthesiology 2011; 11(1): 32-37.

Published online: 30 May 2016

DOI: https://doi.org/10.17245/jkdsa.2011.11.1.32

Pulsus Paradoxus During Extraction of Impacted Tooth under Intravenous Sedation: A Case Report

Saeromi Jun, Jong-Soo Kim, Seung-Oh Kim*

Department of Pediatric Dentistry, Dental Hospital, Dankook University, Cheonan, Korea.

*Department of Anesthesiology, Dental Hospital, Dankook University, Cheonan, Korea.

Corresponding Author: (ksomd@dankook.ac.kr)

Received 10 June 2011       Revised 17 June 2011       Accepted 17 June 2011

Copyright © 2011 Journal of the Korean Dental Society of Anesthesiology

(open-access, http://creativecommons.org/licenses/by-nc/3.0/):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pulsus paradoxus has been defined as a decrease in systolic blood pressure (SBP) of 10 mmHg or more during inspiration. This report describes pulsus paradoxus detected by pulse oximetry during dental procedure.

Case

A 10 years old boy who had impacted mandibular premolar with malformation scheduled for extraction under intravenous sedation with Fentanyl and Propofol. The patient showed upper airway obstruction with stridor and pulsus paradoxus. Though pulsus paradoxus is generally critical condition, in this case, respiration and other vital sign was maintained comparatively well with care in administering oxygen and considerate monitoring of pulse oximetry and capnography.

Discussion

Noninvasive continuous monitoring of pulse oximetry allows recognition of pulsus paradoxus which can lead to serious problems. Clinicians should know very well about it and be able to manage of this kind of situation.

Keywords: Airway obstruction, Intravenous Sedation, Pulsus paradoxus, Sedation complication

TOOLS
Similar articles