Cargando…

Pulseless electrical activity during general anesthesia induction in patients with amyotrophic lateral sclerosis

Pulseless electrical activity (PEA) is a clinical condition characterized by unresponsiveness and lack of palpable pulse in the presence of organized cardiac electrical activity and is caused by a profound cardiovascular insult (e.g., severe prolonged hypoxia or acidosis, extreme hypovolemia, or flo...

Descripción completa

Detalles Bibliográficos
Autores principales: You, Tae Min, Kim, Seungoh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Dental Society of Anesthsiology 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5647820/
https://www.ncbi.nlm.nih.gov/pubmed/29090256
http://dx.doi.org/10.17245/jdapm.2017.17.3.235
_version_ 1783272307162087424
author You, Tae Min
Kim, Seungoh
author_facet You, Tae Min
Kim, Seungoh
author_sort You, Tae Min
collection PubMed
description Pulseless electrical activity (PEA) is a clinical condition characterized by unresponsiveness and lack of palpable pulse in the presence of organized cardiac electrical activity and is caused by a profound cardiovascular insult (e.g., severe prolonged hypoxia or acidosis, extreme hypovolemia, or flow-restricting pulmonary embolus). Amyotrophic lateral sclerosis (ALS) is a disease that is characterized by progressive degeneration of all levels of the motor nervous system. Damage to the respiratory system and weakness of the muscles may increase the likelihood of an emergency situation occurring in patients with ALS while under general anesthesia. We report a case of PEA during the induction of general anesthesia in a patient with ALS who presented for dental treatment and discuss the causes of PEA and necessary considerations for general anesthesia in patients with ALS.
format Online
Article
Text
id pubmed-5647820
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher The Korean Dental Society of Anesthsiology
record_format MEDLINE/PubMed
spelling pubmed-56478202017-10-31 Pulseless electrical activity during general anesthesia induction in patients with amyotrophic lateral sclerosis You, Tae Min Kim, Seungoh J Dent Anesth Pain Med Case Report Pulseless electrical activity (PEA) is a clinical condition characterized by unresponsiveness and lack of palpable pulse in the presence of organized cardiac electrical activity and is caused by a profound cardiovascular insult (e.g., severe prolonged hypoxia or acidosis, extreme hypovolemia, or flow-restricting pulmonary embolus). Amyotrophic lateral sclerosis (ALS) is a disease that is characterized by progressive degeneration of all levels of the motor nervous system. Damage to the respiratory system and weakness of the muscles may increase the likelihood of an emergency situation occurring in patients with ALS while under general anesthesia. We report a case of PEA during the induction of general anesthesia in a patient with ALS who presented for dental treatment and discuss the causes of PEA and necessary considerations for general anesthesia in patients with ALS. The Korean Dental Society of Anesthsiology 2017-09 2017-09-25 /pmc/articles/PMC5647820/ /pubmed/29090256 http://dx.doi.org/10.17245/jdapm.2017.17.3.235 Text en Copyright © 2017 Journal of Dental Anesthesia and Pain Medicine http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
You, Tae Min
Kim, Seungoh
Pulseless electrical activity during general anesthesia induction in patients with amyotrophic lateral sclerosis
title Pulseless electrical activity during general anesthesia induction in patients with amyotrophic lateral sclerosis
title_full Pulseless electrical activity during general anesthesia induction in patients with amyotrophic lateral sclerosis
title_fullStr Pulseless electrical activity during general anesthesia induction in patients with amyotrophic lateral sclerosis
title_full_unstemmed Pulseless electrical activity during general anesthesia induction in patients with amyotrophic lateral sclerosis
title_short Pulseless electrical activity during general anesthesia induction in patients with amyotrophic lateral sclerosis
title_sort pulseless electrical activity during general anesthesia induction in patients with amyotrophic lateral sclerosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5647820/
https://www.ncbi.nlm.nih.gov/pubmed/29090256
http://dx.doi.org/10.17245/jdapm.2017.17.3.235
work_keys_str_mv AT youtaemin pulselesselectricalactivityduringgeneralanesthesiainductioninpatientswithamyotrophiclateralsclerosis
AT kimseungoh pulselesselectricalactivityduringgeneralanesthesiainductioninpatientswithamyotrophiclateralsclerosis