关键词: 双相情感障碍, 阻生牙拔除, 全身麻醉, 个体化麻醉, 围手术期管理, 文献综述

Abstract:

Objective To explore anesthetic management strategies for patients with bipolar disorder undergoing impacted tooth extraction, and to review the literature regarding perioperative risks and corresponding management approaches. Methods A case of a 22-year-old male diagnosed with bipolar disorder(current depressive episode with mixed features)who underwent extraction of maxillary impacted teeth under general anesthesia was reported. A multidisciplinary evaluation was conducted preoperatively, and an individualized anesthesia plan was developed, focusing on avoiding drug interactions between psychiatric medications and anesthetics. General anesthesia was maintained with sevoflurane inhalation combined with intravenous agents, and BIS monitoring was applied. Postoperative care emphasized emotional stabilization and adequate analgesia. Results The patient’s vital signs remained stable during surgery without significant adverse events. Postoperative recovery was uneventful, with stable mood and satisfactory wound healing. Conclusion For patients with bipolar disorder undergoing oral surgery, their long-term medication history and psychological characteristics must be integrated into anesthetic assessment and perioperative planning. Rational selection of anesthetic agents and enhanced perioperative monitoring and support can improve surgical safety and clinical outcomes. This study further summarizes key points of anesthetic management in such patients through a literature review.

Key words: bipolar disorder, impacted tooth extraction, general anesthesia, individualized anesthesia, perioperative management, literature review