Meeting abstract
Comparative Analysis of Possible Complications During Oralsurgical Operations Under General Endotracheal and Short Inhalation Anaesthesia
Sebastijan Sandev
Goran Knežević
Abstract
The object of the study was to investigate the numerous possible complications during oralsurgical procedures in two groups of patients. The patients in the first group were treated under general brief inhalation anaesthesia, i.e. inhalation sedation, while the patients in the second group were treated under general inhalation anaesthesia with intubation. The results of monitoring the parameters of general physiological status and local complications during work were recorded in a previously prepared questionnaire. We determined greater frequency of raised blood pressure, rapid pulse, low oxygenation, fractured teeth during extraction, increased bleeding during and after the procedure, breathing difficulties due to blood and secretion in the respiratory tract, the presence of a foreign body in the respiratory tract, and bruising of the soft tissues of the oral cavity in the group of patients treated under inhalation sedation. Vomiting after the operation was frequently registered in the group of patients under general inhalation anaesthesia with intubation, which is a consequence of the longer duration and greater depth of anaesthesia. The results of the investigation, compared with the experience and investigations in the available literature, indicate the need for a more cautious approach to inhalation sedation and the need for further more comprehensive investigations in this field.
The investigation showed that during brief inhalation anaesthesia general and local complications can be expected which may threaten the health of the patient.
Every more serious complication during work with the application of short inhalation anaesthesia requires the cessation of work and plan for intubation of the patient in order for the operation to be concluded, e.g. fracture of the root which cannot be removed. There were no such examples in the examined sample, although data exists on the same in the Clinical Department of Oral Surgery.
Keywords
Hrčak ID:
2007
URI
Publication date:
15.12.2004.
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