GÜNÜBİRLİK PEDİYATRİK DENTAL TEDAVİLERDE PROPOFOL İLE SEDASYON DENEYİMLERİMİZ

Giriş: Günübirlik anestezi, diş hekimliği tedavilerinin önemli bir kısmını oluşturmaktadır ve propofol dental işlemler sırasındasıklıkla kullanılmaktadır. Bu çalışma, pediyatrik dental tedavilerdeki propofolle yapılan derin sedasyonun sonuçlarını dökümanteetmeyi amaçlamaktadır.Yöntem: Sedasyon uygulanan pediyatrik dental hastalar çalışmaya dahil edildi. Temmuz 2008-Ocak 2013 yılları arasında, 16yaş ve daha küçük yaştaki dental tedavi nedeniyle sedasyon uygulanan hastalar retrospektif olarak araştırıldı. Propofol infüzyonuhastanın spontan solunumu varken başlandı. Hastalar işlem sonrası aynı gün derlenme odasında derlendikten sonra taburcuedildiler. Bulgular: 547 hasta çalışmaya dahil edildi. Bu hastaların 326'sı erkek (%59,6) ve 221'i kız (%40,4) hastaydı. Ortalama yaşaralığı 6.01 ± 2.27 idi. Laringospazm (%10), ajitasyon (% 3.5), ve alerjik reaksiyon (%0.7) görüldü. Entübasyona %2.4 oranındaihtiyaç duyuldu. Ortalama anestezi süresi 66.3 ± 24.2 dakika ve ortalama derlenme süresi 36.6 ± 12.4 dakika olarak belirlendi.Sonuç: Propofol anestezi uygulaması gereken dental tedavi uygulanacak pediyatrik hastalarda erken derlenme sağlayan güvenilirbir ajan olarak kullanılabilir. Minör komplikasyonların erken farkına varılması yan etkileri azaltmak açısından önemlidir.

SEDATION WITH PROPOFOL IN PEDIATRIC OUTPATIENT DENTAL TREATMENT

Objective: Outpatient anesthesia is a major component of dentistry and propofol is frequently used during dental procedures.This study is aimed to document the results of propofol use with deep sedation in pediatric dental procedures.Method: Pediatric patients who had dental procedures with sedation were included in the study. ASA I patients aged 16 yearsor less who had dental therapy between July 2008 and January 2013 with sedation were retrospectively studied. Propofol infusionwas initiated while the patient was spontaneously breathing. Patients were kept in recovery room and then discharged followingprocedure at the same day. Results: Study group included 547 patients with 326 (59.6%) male and 221 (40.4%) female patients. Mean age was 6.01 ± 2.27years. Complications observed were laryngospasm (10%), agitation (3.5%), and allergic reaction (0.7%). Intubation was requiredin 2.4%. Mean anesthesia and recovery times were 66.3 ± 24.2 minutes and 36.6 ± 12.4 minutes, retrospectively. Conclusion: For pediatric patients undergoing dental procedures, propofol would be used as a safe agent which provides earlyrecovery. Early awareness of minor complications is important to decrease side effects.

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Anestezi Dergisi-Cover
  • ISSN: 1300-0578
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1993
  • Yayıncı: Betül Kartal
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