Meeting abstract
Evaluation of Systemic and Local Complications During Inhalation Anaesthesia in Patients With Oral Surgery Treatment
Goran Knežević
Sebastijan Sandev
Abstract
The aim of the research was to define the disadvantages of short inhalation anaesthesia in children with mental retardation, children with expressive fear of dental or surgical treatment, and adults with some degree of mental retardation unsuitable for regular treatment with local anaesthesia. Monitoring of patients ( pulsoximetry, blood pressure) was done with the intention of recording eventual differences from standard values. The immediate results of monitoring indicated the eventual need for additional medication, to interrupt, stop or repeat the treatment. At the same time we recorded all local complications (fracturing of teeth, excessive bleeding, foreign body in respiratory tract etc.) and the existence of late complications (prolonged bleeding, vomiting) for 2 to 3 hours after the treatment.
A group of 84 patients requiring surgical treatment in inhalation anaesthesia is presented. All of them had anaesthesiologic and laboratory examination as the preoperative standard. The treatment was carried out by an oral surgeon, anesthesiologist, technicians and nurses. O2, N2O and Sevoflurane were used for inhalation anesthesia. The age of patients was 1-58 years (av. 29.5). Systemic complications: bronchospasm in two cases /1.68%/, deviations of normal cardiac rhythm 3 /2.52%/ (VES), convulsions (epi) after treatment 1 /0.84%/, saturation O2 under 90% 9 /7.56%/, vomitig after the treatment 1 /0.84%/ high blood pressure was present in 38 /31.92%/ an tachycardia in 45 /37.8%/ of cases.The need to repeat the procedure once occured in 16 /13.44%/ twice 3 /2.52%/ and three times 1 /0.84%/. Foreign body in the respiratory tract 0 /0%/. Local complications: teeth fractures 14 /11.76%/, immediate excessive bleeding 8 /6.72%/, prolonged bleeding 3 /2.52%/. Short inhalation anaesthesia is a successual altenative to general anaesthesia for minor oral surgical interventions but the risk of possible general and local complications has to be considered.
Keywords
Hrčak ID:
3290
URI
Publication date:
15.9.2003.
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