Ambulatory anesthesia for an adult patient with autism and epilepsy: sedation using oral and intravenous dexmedetomidine

A 22-year-old male patient with autism and epilepsy was scheduled to undergo impacted third molar extractions at an outpatient setting. Oral preanesthetic medication with dexmedetomidine and subsequent midazolam with ketamine was acceptable and effective to place intravenous cannula. General anesthe...

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Bibliographic Details
Published inMasui. The Japanese journal of anesthesiology Vol. 57; no. 6; p. 735
Main Authors Shirakami, Gotaro, Tanimoto, Keiji, Matsuura, Shogo, Fukuda, Kazuhiko
Format Journal Article
LanguageJapanese
Published Japan 01.06.2008
Subjects
Administration, Oral
Adult
Ambulatory Surgical Procedures - methods
Anesthesia, Dental - methods
Autistic Disorder - complications
Dexmedetomidine - administration & dosage
Epilepsy - complications
Humans
Hypnotics and Sedatives - administration & dosage
Injections, Intravenous
Male
Tooth Extraction
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Summary:A 22-year-old male patient with autism and epilepsy was scheduled to undergo impacted third molar extractions at an outpatient setting. Oral preanesthetic medication with dexmedetomidine and subsequent midazolam with ketamine was acceptable and effective to place intravenous cannula. General anesthesia was maintained with intravenous propofol and dexmedetomidine and operation was performed uneventfully. Sedation with intravenous dexmedetomidine was continued after operation to attenuate and/or manage postoperative problems, such as emergence agitation, dysphoric reactions, pain, opioid-related nausea/vomiting and seizure. He recovered from postoperative sedation and was discharged home without significant problems. Oral and intravenous dexmedetomidine was useful for anesthetic care in the uncooperative patient.
ISSN:0021-4892