Faculty Profiles - EGUSA Masahiko

MISC - EGUSA Masahiko

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岡山大学病院における摂食・嚥下専門外来の役割について

石田瞭, 有岡享子, 森貴幸, 北ふみ, 江草正彦, 本多康聡, 林邦夫

岡山歯学会雑誌 24 ( 1 ) 10 - 10 2005.6

障害者歯科受診患者の常用薬剤についての研究

森貴幸, 石田瞭, 有岡享子, 江草正彦

日本歯科医療福祉学会雑誌 10 ( 1 ) 23 - 23 2005.6

障害者における歯冠修復物の保持期間に関する研究

森貴幸, 武田則昭, 有岡享子, 石田瞭, 江草正彦

日本歯科医療福祉学会雑誌 10 ( 1 ) 24 - 24 2005.6

超音波診断装置による準備期/口腔期評価の臨床応用

石田瞭, 有岡享子, 川崎聡大, 林邦夫, 江草正彦

日本摂食・嚥下リハビリテーション学会雑誌 8 ( 2 ) 257 - 257 2004.12

MRIを用いた摂食嚥下動態の解析法の開発(3) 座位での撮影が可能なMRIを用いた摂食嚥下動態の観察

本多康聡, 柳文修, 河井紀子, 岸幹二, 江草正彦, 石田僚, 森貴幸, 有岡享子

日本摂食・嚥下リハビリテーション学会雑誌 8 ( 2 ) 267 - 268 2004.12

Intravenous sedation for dental patients with intellectual disability

Takuya Miyawaki, A. Kohjitani, S. Maeda, M. Egusa, T. Mori, H. Higuchi, F. Kita, M. Shimada

Journal of Intellectual Disability Research 48 ( 8 ) 764 - 768 2004.11

Language：English Publishing type：Book review, literature introduction, etc.

Background. The poor quality of oral health care for people with intellectual disability (ID) has been recognized, and the strong fears about dental treatment suggested as a major reason for disturbances of visits to dentists by such patients. Intravenous sedation is a useful method for relieving the anxiety and fear of such patients about dental treatment, and is frequently essential for ID patients undergoing dental treatment. However, decision regarding the dose of sedative required to be administered for an adequate level of sedation is difficult because the effect of sedation cannot be adequately assessed in patients with severe ID. As an appropriate sedative dose for dental patients with ID has not been fully established, we investigated sedative doses required and the effect of sedation in patients with ID, compared with other dental patients. Methods. We reviewed the anaesthetic records of dental patients with ID (73 cases) and other dental patients (19 cases) aged between 20 and 29 years who had undergone intravenous sedation with midazolam and propofol in Okayama University Dental Hospital, from January 2000 to December 2000. Intravenous sedation was induced with a bolus intravenous administration of midazolam (2-3 mg) and maintained with a continuous infusion of propofol. The dose of propofol was titrated to achieve an adequate level of sedation: asleep but responding to painful stimulation. The efficacy of sedation, the required doses of propofol, and the wake-up times were investigated for all subjects. The efficacy of sedation was evaluated by judging whether the patient became cooperative and allowed the dental treatment to be carried out or not. The complications induced by intravenous sedation were also evaluated in each subject. Differences in variables between subjects with ID and other subjects were analysed using the Mann-Whitney U-test. Results. Intravenous sedation was effective for dental treatment in all subjects with or without ID. The required dose of propofol in subjects with ID was 4.74 mg/kg/h (2.63-10.33 mg/kg/h), significantly higher than that required for other subjects (3.31, 1.72-4.80 mg/kg/h). Wake-up times of subjects with ID were similar to those of the other subjects. Severe complications were not seen during or after intravenous sedation. Conclusion. The results of this study show that intravenous sedation is a useful method for dental patients with ID as well as for other dental patients, but indicate that dental patients with ID need higher doses of sedative to obtain an adequate level of sedation. © 2004 Blackwell Publishing Ltd.

DOI： 10.1111/j.1365-2788.2004.00598.x

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知的障害者におけるう蝕リスク診断について

江草正彦, 森貴幸, 梶原京子, 川田久美, 武田則昭, 末光茂

日本公衆衛生学会総会抄録集 63回 797 - 797 2004.10