Genel anestezi altında dental tedavi yapılan olguların değerlendirilmesi

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 amaçlanmıştırGereç 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 değerlendirildiBulgular: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

Evaluation of the patients undergoing dental treatment under general anesthesia

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 literatureMaterials 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.

Keywords:

Dental Treatment, General Anaesthesia,

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