Evaluation of the patients undergoing dental treatment under general anesthesia

Yıl 2019, Cilt: 44 Sayı: 2, 341 - 346, 30.06.2019

Hatice Akpınar

https://doi.org/10.17826/cumj.443611

Cited By: 3

Öz

Purpose:General anesthesia applications in dentistry are
becoming increasingly widespread. Risks related to anesthesia should be
seriously questioned in the patient group under dental treatment planning under
general anesthesia. We aimed to evaluate the
clinical and demographic data of patients who were operated with general
anesthesia and sedation during our study in our hospital, and discussed in the
light of the literature

Materials and Methods:A retrospective study of 3380 cases treated
between April 2014 and April 2016 was reviewed. Demographic data obtained from
patient files, ASA Scores, length of hospital stay,type of anesthesia, 
duration of anesthesia,complications occurring, anesthetic agents and
analgesics used, patients with syndrome and  the desired consultations
were evaluated. 

Results:Of the 3380 cases, 55%
were female, 45% were male and the mean age was 11.23 ± 12.09. The distribution
according to ASA scores was 84.4% ASA I, 15.2% ASA II, 0.4% ASA III. In 3085
patients the procedure was performed by outpatient surgery procedure, while 276
patients were treated inpatient. The consultations requested from the patients
were mostly from the pediatric and neurology clinics. The most common
postoperative complication was bradycardia, and the least complication was
difficult intubation. The most common causes of comorbidities were mental
retardation, congenital heart disease, and epilepsy.

Conclusion:The method of anesthesia is also important
especially in the pediatric age group due to the frequency of genetic
syndromes, mental retardation, concomitant cardiac and respiratory problems.
Precautions should be taken to avoid mortality and morbidity due to anesthesia.
Vital risks should be avoided.

Anahtar Kelimeler

Dental Treatment, General Anaesthesia

Genel anestezi altında dental tedavi yapılan olguların değerlendirilmesi

Öz

Amaç:Diş hekimliğinde genel anestezi uygulamaları
giderek yaygınlaşmaktadır. Genel anestezi altında dental tedavi planlanan hasta
grubunda anesteziye ait riskler ciddi anlamda sorgulanmalıdır. Çalışmamızda hastanemiz
ameliyathanesinde genel anestezi ve sedasyon ile opere edilen olguların klinik
ve demografik verileri  
değerlendirilerek   literatür 
eşliğinde tartışılması amaçlanmıştır

Gereç ve Yöntem:2014 nisan-2016 nisan tarihleri arasında tedavi
olmuş 3380 vakanın dosyası retrospektif olarak incelendi. Hasta dosyalarından
elde edilen demografik veriler, ASA Skorları, hastaların yatış süreleri,
anestezinin türü, anestezi süresi, oluşan komplikasyonlar, kullanılan anestezik
ajanlar ve analgezikler, sendromlu hastalar ve 
istenilen konsültasyonlar değerlendirildi

Bulgular:3380
vakanın  %55’i kadın, %45’i erkek olup  yaş ortalaması  11,23±12,09 idi.   ASA
skorlarına göre dağılımı %84.4 ASA I, %15.2 ASA II, %0.4 ASA III şeklindeydi. 3085
hastada işlem günübirlik cerrahi prosedürü ile gerçekleştirilirken, 276 hastada
yatarak tedavi edildi. Hastalardan istenen konsültasyonlar en fazla pediatri ve
nöroloji kliniklerine aitti. En sık görülen postoperatif komplikasyon
bradikardi olurken,  en az komplikasyon
ise zor entübasyon oldu. En sık komorbidite sebepleri: mental retardasyon,
konjenital kalp hastalığı ve epilepsi idi.  

Sonuç:Özellikle pediatrik yaş grubunda  genetik sendromların sıklığı, mental
retardasyon,  eşlik eden kardiyak ve
solunumsal problemleri  nedeniyle
anestezi yöntemi ayrıca önemlidir. Anesteziye bağlı
oluşabilecek mortalite ve morbiditenin önüne geçmek için önlemler alınmalıdır. Hayati riskler ekarte edilmeye çalışılmalıdır.

Anahtar Kelimeler

Dental Tedavi, Genel Anestezi

Kaynakça

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