A Survey of General Anesthesia, Sevoflurane Sedation and Intravenous Sedation in Chungnam Dental Clinic for the Disabled

Yoo

et al. 2015

BackgroundEmergency room doctors run into difficulties in treating injured pediatric patients because usually they fell into panic after trauma. In these situation, deep sedation with sevoflurane is fully recommendable method. The conventional way can interrupt common dental treatment procedure.MethodsIn the present study, nasal cannula was used for sevoflurane deep sedation in 11 dental emergency treatment. Age ranged from 0 to 3 years old (average of 1.8 years).ResultsTreatment duration was from 10 to 35 minutes (average of 16.7 minutes). Average duration of sedation was 25.5 minutes ranging from 15 to 45 minutes.ConclusionsIt has advantages to use nasal cannula for sevoflurane deep sedation rather than conventional intubation; saves time and secures good operation field.

Section: Discussionmentioning

confidence: 99%

“…Sevoflurane has been reported to cause nausea and vomiting during recovery [ 9 ], but no significant adverse effects were observed in this study. In deep sedation procedure with open airway, monitoring is important [ 5 ]. Especially, medication such as sevoflurane affects respiratory depression more than cardiovascular system.…”

Section: Discussionmentioning

confidence: 99%

Using nasal cannula for sevoflurane deep sedation in emergency dental treatment

Yoo

et al. 2015

“…Patient ages ranged between 5 and 85 years and most were adults: none in the 0-4 group (0%), 3 in the 5-9 group (1.0%), 16 in the 10-14 group (5.2%), 16 in the 15-19 group (5.2%), and 270 in the ≥20 group (88.5%). The present study was able to confirm that IV sedation can be useful for dentally disabled patients who are of normal intelligence, but have severe anxiety over dental treatments [ 5 ].…”

Section: Discussionmentioning

confidence: 53%

A survey of the intravenous sedation status in one provincial dental clinic center for the disabled in Korea

Seok

Yoo

et al. 2016

BackgroundThe objective of the present study was to examine the status of patients who had received dental treatment under intravenous (IV) sedation at Chungnam Dental Clinic for the Disabled in Korea from its inception to the present time, and to review the analysis results.MethodsRetrospective analysis was performed on 305 cases of patients who had received dental treatments under IV sedation between January 2011 and May 2016. The analysis examined the patient's sex, age, primary reason for IV sedation, duration of anesthesia and dental treatment, type of dental treatment performed, number of clinical departments involved in the dental treatment and level of multidisciplinary cooperation, and annual trends.ResultsMost dental treatments using intravenous sedation were performed on medically disabled patients or dentally disabled patients with an extreme gag reflex or dental phobia. The mean duration of IV sedation was 72.5 min, while the mean duration of treatment was 58.0 min. The types of dental treatments included surgical treatment (n = 209), periodontal treatment (n = 28), prosthodontic treatment (n = 28), restorative treatment (n = 23), implant surgery (n = 22), endodontic treatment (n = 9), reduction of temporomandibular joint dislocation (n = 1), and treatment of traumatic injuries (n = 1), with treatments mostly performed on adult patients.ConclusionsWith increasing demand for minimally painful treatment, cases using IV sedation are on an upward trend and are expected to continue to increase.

“…An increasing number of disabled patients have been receiving dental treatment under general anesthesia. The trend is more prevalent in the outpatient clinics of the university medical centers, where patients are commonly subjected to general anesthesia and return home on the same day [ 2 ]. General anesthesia offers a number of advantages for the dental treatment of disabled patients, such as increased patient and caregiver compliance, effective dental examination, and cost effectiveness [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Telephone follow-up care for disabled patients discharged after receiving dental treatment under outpatient general anesthesia

Lee

Seo

et al. 2015

BackgroundPatients were subjected to post-discharge follow-up (by telephone) in order to investigate the potential complications of outpatient general anesthesia or deep sedation that could develop in disabled dental patients discharged from the hospital. The ultimate aim of this study was to establish an appropriate response measure for such complications.MethodsThe caregivers of 79 disabled patients who underwent dental procedures under general anesthesia at our outpatient clinic were interviewed over telephone. Necessary care instructions were provided during the phone calls when required. The patient satisfaction level regarding the telephonic follow-up care was surveyed by additional telephone calls.ResultsMost of the patients did not suffer any serious complications; however, some reported fever and bleeding. The data obtained in this study can be utilized towards the development of caregiver education pertaining to the ambulatory general anesthesia of dental patients with disabilities.ConclusionsAdditionally, we hope that the findings of this study will help minimize the effects of complications experienced by disabled dental patients undergoing ambulatory general anesthesia, as well as increase the overall patient satisfaction level.