Sedoanaljezi altında minör dental cerrahi girişimlerde anestezi deneyimlerimiz

Abstract

Purpose: The majority of dental practice is implemented under local anesthesia and do not require monitorization. However it is crucial to monitor the patient and apply the appropriate treatment when dental care is accompanied by health problems. In this study our goal is to present and evaluate the data obtained by Monitored Anesthesia Care (MAC) of patients who couldn't be administered local anesthesia, instead been applied sedoanalgesia. Material and Method: Data of 621 patients between the age of 1-75 years who administered to the operating room of Ankara University Faculty of Dentistry, Department of Oral and Maxillofacial Surgery during one year for minor surgery attempts (tooth extraction) were examined. Intraoperative and postoperative side effects as well as parameters recorded on the anesthesia forms were evaluated. Results: As result of evaluations; in all patients aged between 1-75, minor surgery attempts (tooth extraction) were carried out under MAC which Observer Assessment of the Alertness/Sedation Scale (OAA/S): 3 level was aimed. Intraoperatively rashes occurred in %4, nausea was observed in %3.2 of all patients. Postoperatively nausea was observed in %6.4, vomitus was seen in %7.2 of all patients. No other side effects or complications were observed. Conclusion:When OAA/S:3 level is achieved in MAC with intravenous anesthetics, minor surgery attempts (tooth extractions) can be trustfully carried out.