TENS-induced pain control in a malignant hyperthermia-susceptible patient.
Malignant hyperthermia (MH) is a severe and often fatal disease that is triggered by exposure to the neuromuscular blocking drug succinylcholine and/or volatile general anesthetics (eg, halothane). Although all local anesthetics are now considered to be safe in malignant hyperthermia patients, some individuals still prefer not to use amide-type anesthetics. Here we report a case of a MH-susceptible patient who successfully received restorative dental treatment with transcutaneous electrical nerve stimulation. We suggest that this may be a safe alternative to consider in patients who have an aversion to chemical anesthetic agents.
Stenberg
W
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Department of Periodontics, University of the Pacific School of Dentistry, San Francisco, California, USA.
D000328:Adult; D000766:Anesthesia, Dental / Q000379:methods*; D000779:Anesthetics, Local; D000075202:Contraindications; D017742:Dental Care for Chronically Ill / Q000379:methods*; D006801:Humans; D008297:Male; D008305:Malignant Hyperthermia; D004561:Transcutaneous Electric Nerve Stimulation
D000779:Anesthetics, Local