Journal of Disability and Oral Health

cover art

Cover Date:
September 2011
Print ISSN:
1470-8558
Vol:
12
Issue:
3

Dental treatment for a patient with motor neurone disease completed under total intravenous anaesthesia: a case report

Abstract A 78-year-old male patient presented to the Birmingham Dental Hospital for dental treatment. His management was complicated by amyotrophic lateral sclerosis (ALS) a form of motor neurone disease, with associated inability to protect his airway due to bulbar involvement in the disease process. His dental treatment was managed successfully as a day case with total intravenous anaesthesia (TIVA) by target control infusion of propofol and remifentanil, aided by monitoring with bispectral index monitoring (BIS). No non-depolarising muscular blocking drug was used. Intubation was performed solely under propofol and remifentanil. The procedure lasted 150 minutes due to the extent of dental treatment required and the patient was discharged home 120 minutes after the completion of the procedure. A discharge this early has not previously been reported. No complications resulted

Key words: Total intravenous anaesthesia, motor neurone disease, case report

Article Price
£15.00
Institution Article Price
£
Page Start
124
Page End
127
Authors
Sarah Austin, Sajith Kumar, David Russell, EJ da Silva, Martin Boote

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