Evaluatıon of the Effect of Intraoperatıve Analgesıa on Paın Perceptıon After Dental Treatments Under General Anesthesıa in Pediatric Patients

Abstract

Abstract Aim: In this study, we aimed to evaluate the effect of intraoperatively administered paracetamol during dental treatment under general anesthesia (GA) on postoperative pain perception. Materials and Methods: After obtaining ethical approval, records of pediatric patients who underwent day-case anesthesia for dental treatments at the General Anesthesia and Sedation Clinic of Selçuk University Faculty of Dentistry in the years 2020-2021 were used. Demographic data, anesthesia durations, dental treatment durations, performed painful procedures, use of local anesthetics, intraoperative use of paracetamol, recorded pain scores at postoperative 1st and 2nd hours, discharge times, and whether additional analgesics were administered in the recovery room were scanned from the patients' anesthesia files. "Microsoft Excel 2016" and "IBM SPSS Statistics 26" package programs were used for the statistical analysis. Frequency and proportional distribution were given for basic demographic descriptive statistics, and their cross-tabulations were examined. Results: Of the 246 pediatric patients included in the study, 136 were male and 110 were female, ranging from 3 to 15 years old. According to the results obtained from the statistical evaluation of the anesthesia records of these patients, a statistically significant difference was observed between the group where intraoperative paracetamol was administered and the group where it was not administered in postoperative 1st-hour pain scores, discharge times, and additional analgesic requirements in the postoperative period. However, no significant difference was found in postoperative 2nd-hour pain scores, body weights, and gender distribution. Conclusion: We believe that intraoperatively administered paracetamol provides a more comfortable postoperative process for pediatric patients. Keywords: dental treatment, general anesthesia, paracetamol

Keywords

• dental treatment
• general anesthesia
• paracetamol

Çocuk Hastalarda İntraoperatif Analjezinin Genel Anestezi Altında Yapılmış Olan Diş Tedavilerinden Sonraki Ağrı Algısı Üzerine Etkisinin Değerlendirilmesi

Abstract

ÖZ Amaç: Genel anestezi (GA) altında diş tedavisi sırasında intraoperatif verilen parasetamolün postoperatif ağrı algısı üzerine etkisini değerlendirmeyi amaçladık. Gereç ve Yöntem: Etik kurul onayı alındıktan sonra Selçuk Üniversitesi Diş Hekimliği Fakültesi Genel Anestezi ve Sedasyon Kliniği’nde 2020-2021 yıllarında günübirlik anestezi ile tedavileri yapılmış olan çocuk hastaların kayıtları kullanılmıştır. Hastaların anestezi dosyalarından demografik verileri, anestezi süreleri, dental tedavi süreleri, yapılan ağrılı işlemler, lokal anestezik kullanımı, intraoperatif parasetamol kullanımı, postoperatif 1. ve 2. saat kaydedilmiş ağrı skorları, servise çıkış süreleri, derlenme odasında ek ağrı kesici yapılıp yapılmadığı ile ilgili veriler taranmıştır. Çalışmanın istatistiksel analizleri için “Microsoft Excel 2016” ve “IBM SPSS Statistics 26” paket programları kullanılmıştır. Temel demografik tanımlayıcı istatistikler için sıklık ve oransal dağılım verilmiş ve birbirleriyle çaprazlamaları incelenmiştir. Bulgular: Çalışmaya dahil edilen 246 çocuk hastanın 136’sı erkek ve 110’u kız; en küçüğü 3 ve en büyüğü 15 yaşında idi. Bu hastaların anestezi kayıtlarının istatiksel değerlendirilmesiyle elde ettiğimiz sonuçlara göre; intraoperatif parasetamol uygulanmış grupla uygulanmamış grup arasında; postoperatif 1. saat ağrı skorlarında, taburculuk sürelerinde, postoperatif dönemde ek analjezik ihtiyaçlarında istatistiksel olarak anlamlı bir fark gözlemlenirken, postoperatif 2. saat ağrı skorlarında, vücut ağırlıklarında ve cinsiyet dağılımında anlamlı bir fark bulunmamıştır. Sonuç: İntraoperatif olarak uygulanan parasetamolün çocuk hastalara daha konforlu bir postoperatif süreç yaşattığını düşünmekteyiz. Anahtar Kelimeler: dental tedavi, genel anestezi, parasetamol

Keywords

• dental tedavi
• çocuk diş hekimliği
• genel anestezi

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