J Korean Dent Soc Anesthesiol.  2014 Mar;14(1):57-62. 10.17245/jkdsa.2014.14.1.57.

The Analysis of Outpatient Anesthesia for Dental Treatment in Handicapped Patients with Behavior Disorder

• Ban MH
• Chung SS

• KMID: 2345005
• DOI: http://doi.org/10.17245/jkdsa.2014.14.1.57

Abstract

BACKGROUND
The aim of this study was to analyze outpatient anesthesia for dental treatment in handicapped patients with behavior disorder in order to use data for carrying out better and safe anesthetic management.
METHODS
The data were drawn from the 100 patients with behavior disorder who visited CNUDH dental clinic for disabled based on anesthesia record to investigate patient's systemic condition, cooperative level, anesthesia method according to patients cooperation, and side effects after recovery time.
RESULTS
Mental retardation (58%) is the most reason to choose general anesthesia. The methods of induction according to cooperative level are intravenous propofol injection in 22 cases and inhalation of sevoflurane in 78 cases. Induction time of anesthesia were within 10 seconds in cases of propofol induction and average 48.8 ± 18.5 seconds in cases of inhalation induction. The time spent on dental treatment was average 3.2 ± 1.1 hours. After the end of treatment, average time to move from unit chair to recovery bed, to recliner, and to discharge from hospital are 10.4 ± 5.1, 36.9 ± 17.1 and 72.4 ± 16.0 minutes, respectively. During recovery, there are nausea with 9%, vomiting with 4%, dizziness with 2%, finger injury with 1%.
CONCLUSIONS
This study showed our successful anesthetic outcomes without any severe side effects or complications. Through this study, it will be used for safe anesthetic management as useful reference data.

Keyword

Anesthesia induction; Behavior disorder; Dental treatment; Outpatient anesthesia

MeSH Terms

Anesthesia*
Anesthesia, General
Dental Clinics
Disabled Persons*
Dizziness
Finger Injuries
Humans
Inhalation
Intellectual Disability
Methods
Nausea
Outpatients*
Propofol
Vomiting
Propofol