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Anesthesia · single question

A patient with mucopolysaccharidosis requires extensive dental treatment under anesthesia. The safest setting/approach is:

  1. Hospital setting under general anesthesia (secured airway)
  2. Hospital setting with conscious sedation only
  3. Outpatient office with conscious sedation
  4. Outpatient office without sedation
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Correct answer: A. Hospital setting under general anesthesia (secured airway)

  • A. Correct. MPS patients have very difficult airways (macroglossia, thickened tissues, cervical instability) and frequent cardiopulmonary involvement. Treatment requiring anesthesia should be done in a hospital under general anesthesia with a secured airway and full support/experienced team.
  • B. Sedation without a secured airway is high-risk given their airway pathology.
  • C. An outpatient office cannot manage their high airway/cardiac risk.
  • D. Their complexity and airway risk make unsupported outpatient care unsafe for extensive treatment.

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