title: [Dental treatment under general anesthesia of a patient with pulmonary atresia with intact ventricular septum].
abstract: A case of pulmonary atresia with intact ventricular septum in a 4-year-4-month boy, whose dental treatment was performed under general anesthesia, was reported. For the general anesthesia, the medication Digoxin was stopped 24 hours before the treatment. For the prevention of bacterial endocarditis, medication consisting on antibiotics of the penicillin series was administered 24 hours before the treatment. The anesthesia was administered with the modified N.L.A. method with Ketamine and Diazepam. The dental treatment went smoothly, and was finished within 1-hour-15 mins from the start. Anesthesia was administered for 1-hour-45 mins. The prognosis was good, and the patient was discharged the next day. It should be noted that as for performing dental treatment under anesthesia or not using anesthesia, there are some different opinions. We think that it must be discussed from the point of view of the effect of the dental treatment on the patient versus the danger of the anesthesia. In this case, we found that, under general anesthesia, stress of the patient was reduced, and the dental treatment was able to be performed smoothly and safely.
authors.affiliation: Pedodontic Clinic of Kobe Children's Hospital.
authors.forename: Y
authors.initials: Y
authors.lastname: Funakoshi
authors.forename: M
authors.initials: M
authors.lastname: Shinohara
authors.forename: T
authors.initials: T
authors.lastname: Inuishi
authors.forename: Y
authors.initials: Y
authors.lastname: Moritani
authors.forename: T
authors.initials: T
authors.lastname: Hieda
mesh_terms: D000766:Anesthesia, Dental; D002675:Child, Preschool; D003730:Dental Care for Persons with Disabilities; D004697:Endocarditis, Bacterial / Q000517:prevention & control; D006801:Humans; D008297:Male; D009458:Neuroleptanalgesia; D010406:Penicillins / Q000627:therapeutic use*; D011292:Premedication; D011666:Pulmonary Valve Stenosis
chemical_list: D010406:Penicillins