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Acta stomatologica Croatica : International journal of oral sciences and dental medicine, Vol. 38 No. 4, 2004.

Meeting abstract

Anaesthesia in Dental Medicine

Stojanka Gašparović
Morena Milić
Tanja Goranović
Lidija Butorac-Rakvin

Full text: croatian pdf 51 Kb

page 284-284

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Full text: english pdf 54 Kb

page 284-285

downloads: 583

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Abstract

Introduction. The majority of dental procedures are carried out under local anaesthesia (90%). Reasons for this are the simple preparation of the patient, out-patient treatment and rare complications. However, there are patients and conditions for which such procedures are impossible to perform under local anaesthesia.
Aim. The aim of this study was to determine the indications and complications of general anaesthesia in dental patients.
Materials and methods. We analysed 864 patients during a period from 2001 to 2004 in the University Hospital Dubrava, in whom dental operations were performed. In preoperative preparation patients require laboratory findings, ECG, case history and paediatric or internist examination. They are premedicated with atropine and midazola intramuscularly, and the type of anaesthesia determined according to the type of operation, age and general condition of the patient.
Results. During the period from 2001 to 2004 864 patients were analysed in the University Hospital Dubrava, in whom an operation was performed. Indications for general anaesthesia were children, mentally retarded persons and those with inflamed soft tissues of the oral cavity. Teeth extractions were performed under inhalation anaesthesia on a mask (692), and patients with multiple dental repairs were intubated (172). During anaesthesia blood pressure, ECG, peripheral saturation with oxygen and CO2 concentration was measured. The patients were monitored for 6 hours after the operation, after which they were released from hospital if there were no complications.
Complications were rare: laryngo and bronchospasm in 3 patients, arrhythmia in 5, nausea and vomiting in 6, and postoperational excitation occurred in 3 patients.
Conclusion. Children and mentally retarded persons were the most frequent indications for general anaesthesia in dental medicine. Complications occurred in 17 patients (1.8%) which is an acceptable risk for this type of operation.

Keywords

Hrčak ID:

2006

URI

https://hrcak.srce.hr/2006

Publication date:

15.12.2004.

Article data in other languages: croatian

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