Ambulatory Anesthesia for a Case of Idiopathic Bronchiolitis Obliterans

Author:

Wong Michelle12

Affiliation:

1. Dental Anesthesiology, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada

2. Department of Dentistry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada

Abstract

Bronchiolitis obliterans is rarely described in the nonlung transplant anesthesia literature. This case report describes a 27-year-old female patient with idiopathic bronchiolitis obliterans and dental anxiety who safely received intravenous deep sedation using diphenhydramine, dexmedetomidine, and ketamine in an ambulatory community dental clinic. This report outlines the anesthetic plan developed following a thorough preoperative assessment and review of the key anesthetic considerations of idiopathic bronchiolitis obliterans (eg, potential respiratory complications and appropriateness for the ambulatory dental environment) and discusses the careful anesthetic management of this patient using deep sedation to facilitate comprehensive restorative dentistry.

Publisher

American Dental Society of Anesthesiology (ADSA)

Subject

Anesthesiology and Pain Medicine

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