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122 - A Case Report in the Assessment of an Anesthesia Intraprocedural Complication

Friday, May 23, 2025
2:00 PM - 2:20 PM MDT
Has Audio

    Presenting Author(s)

  • SB

    Sandy Barnes, DDS

    Resident
    University of Alabama at Birmingham
    University of Alabama at Birmingham
    Birmingham, Alabama, United States

    • Co-Author(s)

  • AM

    Alexa Martin, D.M.D.

    University of Alabama at Birmingham

  • JJ

    Janice G. Jackson, DMD

    Professor & Chair Department of Pediatric Dentistry
    University of Alabama at Birmingham
    birmingham, Alabama, United States

  • Yu-Yin Lin, D.D.S.

    Assistant Professor | Director, Pre-Doctoral Program in Pediatric Dentistry
    University of Alabama at Birmingham
    University of Alabama at Birmingham
    Birmingham, Alabama, United States

    • Research Mentor(s)

  • Yu-Yin Lin, D.D.S.

    Assistant Professor | Director, Pre-Doctoral Program in Pediatric Dentistry
    University of Alabama at Birmingham
    University of Alabama at Birmingham
    Birmingham, Alabama, United States

    • Program Director(s)

  • JJ

    Janice G. Jackson, DMD

    Professor & Chair Department of Pediatric Dentistry
    University of Alabama at Birmingham
    birmingham, Alabama, United States

Abstract:

The report describes an intraprocedural adverse event during general anesthesia(GA) for dental procedures, and discusses the potential causes and prevention of the reaction.
An 18-year-old patient with medical diagnosis of asthma, ADHD, autism was scheduled for a full-mouth dental rehabilitation under GA due to multiple caries, uncooperative behavior, and medical conditions. The anesthesia procedure was routine, including the use of sevoflurane and propofol. Approximately 1.5 hours intra-procedure, the patient developed a seizure-like reaction, which was not relevant to patient history other than an episode of febrile seizure in early childhood. Potential causes were electrolyte imbalance1 and GA medications. Sevoflurane2,3 and propofol4 are documented as epileptogenic medications for surgical anesthesia, even in healthy individuals. Early detection under GA with an electroencephalogram, prophylactic medication for seizures, or avoiding using sevoflurane are suggested5. Moreover, we highlight the importance of following the NPO time while staying hydrated prior to surgical procedures6.

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