Biomaterial Database

Anesthesia for a Patient With Excessive Supragastric Belching. 2017

Michelle Wong

Dental Anesthesiology, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada, and Department of Dentistry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

Excessive supragastric belching is rarely described in the anesthesia literature. Anesthesia planning of a 26-year-old patient with excessive supragastric belching, history of superior mesenteric artery syndrome (SMAS), and dental anxiety requires preoperative assessment. This case report outlines the anesthetic considerations and the management to facilitate comprehensive dentistry. Key anesthetic considerations include anxiolysis, aspiration risk reduction, total intravenous anesthesia (TIVA), and postoperative nausea and vomiting (PONV) prophylaxis.

UI	MeSH Term	Description	Entries
D003729	Dental Care	The total of dental diagnostic, preventive, and restorative services provided to meet the needs of a patient (from Illustrated Dictionary of Dentistry, 1982).	Care, Dental
D004884	Eructation	The ejection of gas or air through the mouth from the stomach.	Belching,Belchings,Eructations
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D000766	Anesthesia, Dental	A range of methods used to reduce pain and anxiety during dental procedures.	Dental Anesthesia
D013478	Superior Mesenteric Artery Syndrome	DUODENAL OBSTRUCTION by the superior mesenteric artery (MESENTERIC ARTERY, SUPERIOR) which travels in the root of the MESENTERY and crosses over the DUODENUM. The syndrome is characterized by the dilated proximal duodenum and STOMACH, bloating, ABDOMINAL CRAMPS, and VOMITING. Often it is observed in patient with body casts after spinal surgery.	Duodenal Compression Syndrome, Mesenteric,Mesenteric Duodenal Compression Syndrome,Cast Syndrome,Wilkie Syndrome,Syndrome, Cast,Syndrome, Wilkie
D016854	Dental Anxiety	Abnormal fear or dread of visiting the dentist for preventive care or therapy and unwarranted anxiety over dental procedures.	Anxiety, Dental,Dental Fear,Dental Phobia,Fear, Dental,Dentophobia,Odontophobia,Phobia, Dental,Dental Anxieties,Dental Fears,Dental Phobias,Dentophobias,Odontophobias