Seher ORBAY YAŞLI, Dilek GÜNAY CANPOLAT, Ahmet Emin DEMİRBAŞ

ÇOCUKLARIN DİŞ TEDAVİLERİNDE YAPILAN DERİN SEDASYON İŞLEMLERİNDE NON-İNVAZİV MEKANİK VENTİLASYON VE NAZAL KANÜL KULLANIMININ KARŞILAŞTIRILMASI

Derin sedasyon prosedürlerinde, ek oksijen genellikle hastalara nazal kanül yoluyla verilir. Non-invaziv mekanik ventilasyon (NIMV), özellikle hipoksinin tedavisinde kullanılan oksijenasyon yöntemidir. Hasta güvenliği ve diş hekiminin tedaviyi uygulama kolaylığı açısından çocukların diş tedavilerinde derin sedasyon işlemlerinde oksijenasyon yöntemi olarak nazal kanül ve nazal maske ile NIMV uygulamalarının kullanımını karşılaştırmayı amaçladık. Hastalar nazal maske grubu (M) ve nazal kanül grubu (N) olarak iki gruba ayrıldı. Oksijenasyon için N grubu hastalara nazal kanül kullanılırken, M grubu hastalara nazal maske ile NIMV uygulandı. Hastaların hemodinamik parametreleri, görülen komplikasyonlar ve diş hekiminin memnuniyet derecesi kaydedildi ve karşılaştırıldı. Anestezi indüksiyonu sonrası ve işlemin beşinci dakikasında grup M'de kan oksijen saturasyonu (SpO2) anlamlı olarak yüksekti. İşlem sırasında görülen hipoksi olayı (SpO2 ≤90) sayısı grup N'de anlamlı olarak daha yüksekti. Cerrah memnuniyeti grup M'de anlamlı olarak daha yüksekti. Çalışmamız ile; diş tedavileri için derin sedasyon uygulanan çocuklarda oksijenizasyonda burun maskesi ile uygulanan NIMV’nin hipoksi riskini azalttığı ve oksijenizasyonda nazal kanül kullanmaktan daha güvenli olduğu kanaatine varılmıştır.

Anahtar Kelimeler:

Derin sedasyon, diş tedavisi, nazal kanül, nazal maske, noninvaziv mekanik ventilasyon

COMPARISON OF NON-INVASIVE MECHANICAL VENTILATION AND NASAL CANNULA USE IN DEEP SEDATION PROCEDURES PERFORMED FOR DENTAL TREATMENTS OF CHILDREN

For deep sedation procedures, supplemental oxygen is usually administered via a nasal cannula to the patients. Non-invasive mechanical ventilation (NIMV) is the oxygenation method, especially used in the treatment of hypoxia. We aimed to compare the use of nasal cannula and NIMV applications as oxygenation methods for deep sedation procedures in the dental treatments of children, especially in terms of patient safety and the convenience of the dentist to apply the treatment. Patients were divided into two groups as the nasal mask group (M) and the nasal cannula group (N). For oxygenation, while a nasal cannula was used for group N, NIMV with a nasal mask was applied for group M. Hemodynamic parameters of the patients, complications and dentist's satisfaction degree were recorded and compared. Saturation of blood oxygen (SpO2) was significantly higher in group M after induction of anesthesia and in the fifth minute of the procedure. Hypoxia (SpO2 ≤90) event number during the procedure was significantly higher in group N. Surgeon satisfaction was significantly higher in group M. We concluded that, in children undergoing deep sedation for dental treatments, NIMV applied with a nasal mask reduces the risk of hypoxia and is safer than using a nasal cannula.

Keywords:

Deep sedation, dental treatment, nasal cannula, nasal mask, noninvasive mechanical ventilation,

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