Original scientific paper
https://doi.org/10.15644/asc55/2/6
Post-DIscharge Complications of Dental Treatment in General Anesthesia Performed in a Day-Care Service
Vlaho Brailo
orcid.org/0000-0002-8449-871X
; Department of Oral Medicine, Dental Clinic, University Clinical Hospital Zagreb/University of Zagreb, School of Dental Medicine, Zagreb, Croatia
Bernard Janković
; Department of Endodontics and Restorative Dentistry, Dental Clinic, University Clinical Hospital Zagreb/University of Zagreb, School of Dental Medicine, Zagreb, Croatia
Dragana Gabrić
; Department of Oral Surgery, Dental Clinic, University Clinical Hospital Zagreb/University of Zagreb, School of Dental Medicine, Zagreb, Croatia
Marin Lozić
; Clinic for Anesthesiology, Reanimatology and Intensive Care, University Clinical Hospital Zagreb, Zagreb, Croatia
Vasilije Stambolija
; Clinic for Anesthesiology, Reanimatology and Intensive Care, University Clinical Hospital Zagreb, Zagreb, Croatia
Danica Vidović Juras
; Department of Oral Medicine, Dental Clinic, University Clinical Hospital Zagreb/University of Zagreb, School of Dental Medicine, Zagreb, Croatia
Željko Verzak
; Department of Pediatric Dentistry, Dental Clinic, University Clinical Hospital Zagreb/University of Zagreb, School of Dental Medicine, Zagreb, Croatia
Abstract
Objective: To review the frequency and management of post-discharge complications in patients who underwent dental treatment in general anesthesia (GA) in a day-care surgery setting and identify the factors that increase the risk for these complications. Material and methods: Anonymous questionnaire was sent to parents/caregivers of patients who underwent full mouth restoration in GA at our institution between 1 st January 2017 and 31 st July 2019. Demographic and clinical data of patients as well as the data about the occurrence and management of complications were collected. Results: Sixty-six parents/caregivers (30.5%) responded to the questionnaire. Most frequent complications were drowsiness and pain in 40(60.6%) patients. Complications were managed by parents or caregivers with conservative measures at home in 57(91.9%) cases. Phone consultation with dentist was required in 5(8.1%) cases. One patient (1.6%) was readmitted. Younger age and diagnosis were associated with increased risk for drowsiness. Conclusion: Post discharge complications of dental treatment in GA in a day-care service are common and they can be managed by parent/caregiver with conservative measures at home. The rate of readmission is low. Dental treatment in GA in a day-care service is a safe procedure that can be performed with acceptable risk in carefully selected patients.
Keywords
Postoperative Complications; Dental Care; Medical Day Care; General Anesthesia; Day-care; Dental treatment
Hrčak ID:
258825
URI
Publication date:
15.6.2021.
Visits: 1.580 *