OUR ANESTHESIA EXPERIENCES OF SEDOANALGESIA FOR MINOR DENTAL SURGERY APPROACHES

Öz

Purpose: The majority of dental practice is implemented under local anesthesia and do not require monitorization. However it is crucial to monitor the patient and apply the appropriate treatment when dental care is accompanied by health problems. In this study our goal is to present and evaluate the data obtained by Monitored Anesthesia Care (MAC) of patients who couldn’t be administered local anesthesia, instead been applied sedoanalgesia. Material and Method: Data of 621 patients between the age of 1-75 years who administered to the operating room of Ankara University Faculty of Dentistry, Department of Oral and Maxillofacial Surgery during one year for minor surgery attempts (tooth extraction) were examined. Intraoperative and postoperative side effects as well as parameters recorded on the anesthesia forms were evaluated. Results: As result of evaluations; in all patients aged between 1-75, minor surgery attempts (tooth extraction) were carried out under MAC which Observer Assessment of the Alertness/Sedation Scale (OAA/S): 3 level was aimed. Intraoperatively rashes occurred in %4, nausea was observed in %3.2 of all patients. Postoperatively nausea was observed in %6.4, vomitus was seen in %7.2 of all patients. No other side effects or complications were observed. Conclusion: When OAA/S:3 level is achieved in MAC with intravenous anesthetics, minor surgery attempts (tooth extractions) can be trustfully carried out

Anahtar Kelimeler

• MAC, tooth extraction, anesthesia, sedoanalgesia

Sedoanaljezi altında minör dental cerrahi girişimlerde anestezi deneyimlerimiz

Öz

Giriş ve Amaç: Dental uygulamaların önemli bir kısmı lokal anestezi altında gerçekleştirilmekte, sistemik fonksiyonların monitorizasyonu gerekmemektedir. Ancak dental tedaviye eşlik eden sağlık sorunları varlığında yakın monitorizasyon ve uygun tedavilerin yapılması zorunludur. Bu araştırmada; dental tedavileri lokal anestezi altında gerçekleştirilemeyen olguların sedoanaljezi altında Monitörize Anestezi Bakımı (MAB)  ile uygulamalarına ait verileri değerlendirilerek sonuçları sunulmuştur.

Gereç ve Yöntem: Ankara Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Cerrahisi Anabilim Dalı’nda genel ameliyathanede bir yıl süresince minör cerrahi girişim (diş çekimi) gerçekleştirilen 1-75 yaş arası  621 olguya ait veri kayıtları incelendi. Anestezi formlarında kayıt altına alınan parametreler yanı sıra, işlem sırası ve sonrasında  ortaya çıkan yan etkiler değerlendirildi.

Bulgular: Değerlendirme sonucunda; 1-75 yaş arası tüm olgularda Gözlemcinin

Uyanıklık/Sedasyon Değerlendirme Skalası (OAA/S):3 düzeyi hedeflenerek uygulanan MAB ile minör cerrahi girişimi (diş çekimi) gerçekleştirildi. İşlem sırasında %4 olguda döküntü, %3.2 olguda bulantı,  işlem sonrası %6.4 olguda bulantı, %7.2 olguda kusma  dışında yan etki veya komplikasyon saptanmadı.

Sonuç: İntravenöz anestezikler ile  MAB’ da   OAA/S:3 düzeyi sağlandığında  minör cerrahi girişimlerin (diş çekimi) güvenle gerçekleştirilebileceği düşüncesindeyiz.

Anahtar Kelimeler

• MAB, diş çekimi, anestezi, sedoanaljezi

Kaynakça

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