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J Dent Anesth Pain Med. 2016 Sep;16(3):217-222. doi: 10.17245/jdapm.2016.16.3.217. Epub 2016 Sep 30.

Use of ADMS™ during sedation for dental treatment of an intellectually disabled patient: a case report.

Author information

1
Department of Dental Anesthesiology, Seoul National University Dental Hospital, Seoul, Korea.
2
Research Institute, Unimedics CO., LTD., Seoul, Korea.
3
Special Care Clinic, Seoul National University Dental Hospital, Seoul, Korea.

Abstract

Dental treatment is often performed under general anesthesia or sedation when an intellectually disabled patient has a heightened fear of treatment or has difficulty cooperating. When it is impossible to control the patient due to the severity of intellectual disability, conscious sedation is not a viable option, and only deep sedation should be performed. Deep sedation is usually achieved by propofol infusion using the target controlled infusion (TCI) system, with deep sedation being achieved at a slightly lower concentration of propofol in disabled patients. In such cases, anesthesia depth monitoring using EEG, as with a Bispectral Index (BIS) monitor, can enable dental treatment under appropriate sedation depth. In the present case, we performed deep sedation for dental treatment on a 27-year-old female patient with mental retardation and severe dental phobia. During sedation, we used BIS and a newly developed Anesthetic Depth Monitor for Sedation (ADMS™), in addition to electrocardiography, pulse oximetry, blood pressure monitoring, and capnometry for patient safety. Oxygen was administered via nasal prong to prevent hypoxemia during sedation. The BIS and ADMS™ values were maintained at approximately 70, and dental treatment was successfully performed in approximately 30 min..

KEYWORDS:

ADMS; Anesthesia depth monitoring; Disabilities; Propofol; Sedation

Conflict of interest statement

Declaration of Conflicts of Interest: The authors have no conflicts of interest to report. But The ADMSTM machine and sensors are supported by Research Institute, Unimedics CO., LTD., Seoul, Korea

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