Diş Hekimliği Pratiğinde Genel Anestezi : Derleme

Günümüzde dental işlemlerin çoğu lokal anestezi altında gerçekleştirilmektedir. Bazen lokalanestezinin tek başına yeterli olmadığı durumlarla karşılaşılabilir ve bu gibi durumlardasedasyon veya genel anestezi işlemi tercih edilebilir. Koopere olmayan küçük çocuklar, lokalanesteziye karşı allerjisi olan ve özel durumdaki hastalar bu gruba dahil edilebilir. Genel anestezialtında tedavinin avantajları olmasına rağmen birtakım riskler taşıdığını unutmamak gerekir vehastane şartlarında ve deneyimli bir anestezi uzmanı tarafından gerçekleştirilmelidir.Bu derlemede, sedasyon ve genel anestezinin diş hekimliğinde kullanım alanları ve uygulamayöntemleri anlatılmaktadır

Anahtar Kelimeler:

Dental işlemler, genel anestezi, sedasyon

General Anaesthesia For Dentistry : A Review

In modern practice the majority of procedures are performed with local anesthesia alone.Sometimes local anesthesia may be insufficient. In such cases sedation or general anesthesiacan be performed. Patients needing general anesthesia include non compatible children, thosewith allergy to local anesthetics, and adults with special needs. Although general anestheticprocedure has advantageous, it should be noted that there are some risks and must be performedonly in hospitals by an anesthetist.In this review, The aim of this study was to explain general anesthesia for dental procedures

Keywords:

dental procedures, general anesthesia, sedation,

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Susan Hutchinson. General anaesthesia for dentistry. Anesthesia & Intensive Care Medicine. 2011, 8: 347-350, 2011.
Vargas-román Mp, Rodríguez-bermudo S, Machuca-portıllo G. Dental treatment under general anesthesia: A useful procedure in the third millennium (II)? 2003, Med Oral 8:281-287, 2003.
Zakaria Messieha. Risks of general anesthesia for the special needs dental patient. Spec Care Dentist 2009, 29: 21-25.
Dodds C. General anesthesia: practical recommendations and recent advances. Drugs 1999, 58:453-467.
Moller JT, Cluitman P, Rasmussen LS, et al. Long-term postoperative cognitive dysfunction in the elderly ISPOCD1 study. Lancet 1998, 351:857-861.
Cavaliere F, Cormaci M, Proto A, Alberti A, Colabucci F. Clinical and hormonal response to general anesthesia in patients affected by different degrees of mental retardation. Minerva Anestesiol 1999, 65:499-505.
Padfield A. Just a little whiff of gas. A partial history of UK dental chair anaesthesia. Anaesthesia News. 2007, 243: 27– 28.
Landes DP. The provision of general anaesthesia in dental practice, an end which had to come? Br Dent J. 2002, 192:129-131.
Patricia J Flynn, Leo Strunin. General anaesthesia for dentistry. Anesthesia & Intensive Care Medicine. 2005, 8: 263-265.
Standing Dental Advisory Committee. General anaesthesia, sedation and resuscitation in dentistry. Report of an Expert Working Party. London: Department of Health, 1990.
Stanková M, Buček A, Dostálová T, Ginzelová K, Pacáková Z, Seydlová M. Patients with Special Needs within Treatment under General Anesthesia – Meta-analysis. Prague Medical Report. 2011, 3: 216–225.
Türk Anesteziyoloji ve Reanimasyon Derneği (TARD) Anestezi Uygulama Kılavuzları; Preoperatif Hazırlık, Kasım 2005.
Scarr M, Maltby JR, Jani K, Sutherland LR. Volume and acidity of residual gastric fluid after oral fluid ingestion before elective ambulatory surgery. 1989, CMAJ. 141: 1151- 1154.
Eriksson Ll, Sandin R. Fasting guidelines in different countries. Acta Anaesth Scand. 1996, 40: 971-974.
Fasting S, Soreide E, Raeder JC. Changing preoperath'e fasting policies. Impact of a national consensus. Acta Anaesthesiol Scand.1998, 42: 1188-1191.
Maltby JR. New guidelines for preoperative fasting. Can J Anaesth 1993; 40: 113-117.
Toker A, Girgin NK, Türker G, Kutlay O. Küçük ve Orta Cerrahi Girişimlerde Preoperatif Rutin Laboratuar Testleri Gerekli midir? Dicle Tıp Dergisi 2008, 35: 120-127.
Finegan BA, Rashiq S, McAlister FA, O’Connor P. Selective ordering of preoperative investigations by anesthesiologists reduces the number and cost of tests. Can J Anaesth. 2005, 52: 575-580.
Imasogie N, Wong DT, Luk K, Chung F. Elimination of routine testing in patients undergoing cataract surgery allows substantial saving in laboratory costs. A brief report. Can J Anaesth. 2003, 50: 246-248.
Ajimura FY, Maia AS, Hachiya AFS. Sao Paulo Med J. 2005, 123: 50-53.
Fischer SP. Development and effectiveness of an anesthesia preoperative evaluation clinic in a teaching hospital. Anesthesiology. 1996, 85: 196-206.
Gold BS, Young ML, Kinman JL, Kitz DS, Berlin J, Schwartz S. The utility of preoperative electrocardiograms in the ambulatory surgical patient. Arch Intern Med. 1992, 152: 301- 305.
Hirsch IA, Tomlinson DL, Slogoff S, Keats AS. The overstated risk of preoperative hypokalemia. Anesth Analg. 1988, 67: 131- 136.
Nardella A, Pechet L, Synder LM. Continuous improvement, quality control, and cost containment in clinical laboratory testing. Effects of establishing and implementing guidelines for preoperative tests. Arch Pathol Lab Med. 1995, 119: 518- 522.
G. Edward Morgan, Jr. Maged S. Mikhail, Michael J. Murray, C. Philip Larson, Jr. Klinik Anesteziyoloji. Prof.Dr. Melek Tulunay, Prof.Dr. Handan Cuhruk (eds). Güneş Kitabevi. pp: 889-894.
Ülkü Aypar, Seda Banu Akıncı. Diş Hekimliği ve Anestezi. Nobel Tıp Kitabevleri, pp: 135-146.
Darlong V, Shende D, Singh M, Garg R, Pandey R, Punj J. Low- versus high-dose combination of midazolam-ketamine for oral premedication in children for ophthalmologic surgeries. Singapore Med J.2011, 52: 512-516.
Caputo AC. Providing deep sedation and general anesthesia for patients with special needs in the dental office-based setting. Spec Care Dentist. 2009, 29: 26-30.
Miller RD. Miller’s Anesthesia Sixth Edition. California. 2005, 68: 2589-2635.
White PF, Smith I: Ambulatory Anesthesia. Past, present and future. Int Anesthesia Clin. 1994, 32: 1-16.
Morgan GE, Maged SK. Clinical Anesthesiology. First Edition. 1994, 44: 648-653.
Moore JK, Elliott RA, Payne K, Moore EW, St Leger AS, Harper NJ, Pollard BJ, Kerr J. The effect of anaesthetic agents on induction, recovery and patient preferences in adult day case surgery: a 7-day follow-up randomized controlled trial. Eur J Anaesthesiol.2008, 25:876-83.
Gupta A, Stierer T, Zuckerman R, Sakima N, Stephen D. Parker L, Fleisher A. Comparison of Recovery Profile After Ambulatory Anesthesia Sevoflurane and Desflurane. A Systematic Review. Anesth Analg. 2004, 98:632–41. with Propofol, Isoflurane
Holt RD, Chidiac RH, Rule DC. Dental treatment for children under general anesthesia in day care facilities at a London dental hospital. Br Dent J. 1991, 170:262-266.
Eliezer Kaufman, Joel B. Epstein, Meir Gorsky, Douglass L. Jackson, Kadari A. Preemptive Analgesia and Local Anesthesia as a Supplement to General Anesthesia: A Review. Anesth Prog. 2005, 52:29–38.
Tverskoy M, Cozacov C, Ayache M, Bradley EL, Kissin I. Postoperative pain after inguinal herniorrhaphy with different types of anesthesia. Anesth Analg. 1990, 70:29–35.
Yavaşcaoğlu B, Kaya FN, Özcan B, Uzunalioğlu S, Güven T, Yazıcı Ş, Ocakoğlu G. Erişkinlerde Anestezi Sonrası Görülen Komplikasyonların Retrospektif Değerlendirilmesi. Uludağ Üniversitesi Tıp Fakültesi Dergisi 2009, 35 :73-78.
Türk Anesteziyoloji ve reanimasyon derneği (TARD) Anestezi uygulama kılavuzları; Günübirlik anestezi, Mart 2006.