ANESTHETIC RISKS IN GENERAL ANESTHESIA PRACTICES IN PEDIATRIC DENTISTRY: A RETROSPECTIVE STUDY

Yıl 2023, , 230 - 234, 15.06.2023

Funda Arun

https://doi.org/10.15311/selcukdentj.1230411

Öz

Amaç
Genel anestezi (GA) altında dental tedavi uygulanan çocuk hastalarda anesteziye bağlı komplikasyonları değerlendirmeyi amaçladık.
Gereç ve Yöntem
Etik kurul onayı alındıktan sonra Selçuk Üniversitesi Diş Hekimliği Fakültesi Genel Anestezi ve Sedasyon Kliniği’nde 01.09.2020-01.09.2022 tarihleri arasında opere edilen çocuk hastaların kayıtları demografik veriler, ASA, komorbiditeler, anestezi süresi, derlenme süresi, kardiyak/ pulmoner komplikasyonlar ve beklenmeyen hastaneye yatış oranı. Hastalar yaşa göre grup 1 (0-3 yıl), grup 2 (3-6 yıl), grup 3 (>6 yıl) olarak 3 gruba ayrıldı.
Bulgular
Toplam hasta sayısı 398’di. Tüm hastalar 2-15 yaş arasındaydı. Grup 1'deki hasta sayısı 7 olduğu için karşılaştırmalarda istatistiksel olarak değerlendirilmemiştir. Tüm hastaların ortalama anestezi süresi 96.9 dakika, grup 2 ve grup 3'teki süreler sırasıyla 100,3 dakika ve 88.7 dakikaydı ve grup 2 ile 3 arasındaki fark istatistiksel olarak anlamlıydı (p=0,003). Grup 2 ve grup 3'teki tüm hastaların ortalama Vücut Kitle İndeksi (VKİ) değerleri sırasıyla 16.1 ve 18.6 idi ve grup 2 ile 3 arasındaki fark istatistiksel olarak anlamlıydı (p<0.001). Grup 2'de ASA 1 ve 2 hasta sayısı sırasıyla %87.2 ve %12.1 idi. Grup 3'te ASA 1 ve 2 hasta sayısı sırasıyla %56.4 ve %40.6 idi. ASA skoru açısından grup 2 ve 3 arasındaki fark istatistiksel olarak anlamlıydı (p<0,001).
Sonuç
Anestezik ilaçların riskleri ile ilgili FDA uyarısına göre risk kriterlerine uyan 3 yaş altı hasta bulamadık. Hiçbir hastamızda kardiyak veya pulmoner komplikasyon görülmedi ve beklenmedik bir hastaneye yatış olmadı.
Anahtar Kelimeler: dental tedavi, genel anestezi, çocuk diş hekimliği

Anahtar Kelimeler

dental treatment, general anesthesia, pediatric dentistry

ANESTHETIC RISKS IN GENERAL ANESTHESIA PRACTICES IN PEDIATRIC DENTISTRY: A RETROSPECTIVE STUDY

Öz

Aim: We aimed to evaluate anesthesia-related complications in pediatric patients undergoing dental treatment under general anesthesia (GA).
Materials and Methods: After ethical committee approvel, the records of pediatric patients who were operated between 01.09.2020-01.09.2022 at Selcuk University Faculty of Dentistry General Anesthesia and Sedation Clinic were evaluated with regards of demographic data, ASA, comorbidities, duration of anesthesia, recovery time, cardiac/pulmonary complications, and unanticipated hospitalization rate. The patients were divided into 3 groups according to age as group 1 (0-3 years), group 2 (3-6 years), group 3 (>6 years).
Results: The total number of patients were 398. All patients were between 2-15 years of age. Since the number of patients in group 1 is 7, it was not statistically evaluated in comparisons. The mean duration of anesthesia for all patients was 96.9 minutes, the times in group 2 and group 3 were 100.3 minutes and 88.7 minutes, respectively, and the difference between groups 2 and 3 was statistically significant (p=0.003).The mean BMI values of all patients, in group 2 and in group 3 were 16.1, and 18.6, respectively and the difference between group 2 and 3 was statistically significant (p<0.001). In group 2, the number of ASA 1 and 2 patients were 87.2% and 12.1%, respectively. In group 3, the number of ASA 1 and 2 patients were 56.4% and 40.6%, respectively. The difference between group 2 and 3 regarding ASA score was statistically significant (p<0.001).
Conclusion: We have not found any patients under 3 years of age who were at risk according to the FDA warning regarding the risks of anesthetic drugs. No cardiac or pulmonary complications were observed in any of our patients and there were no unexpected hospitalizations.
Key Words: dental treatment, general anesthesia, pediatric dentistry

Anahtar Kelimeler

general anesthesia, pediatric dentistry, dental treatment, pediatric dentistry

Kaynakça

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