Use of Continuous Positive Airway Pressure in Paediatric Dental Extraction Under General Anaesthesia

Suresh, D.; Purdy, Graeme M.; Wainwright, A. P.; Flynn, P. J.

doi:10.1093/bja/66.2.200

Cited by 2 publications

(2 citation statements)

References 27 publications

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“…Irrespective of 100% supplementary oxygen, desaturation is probably more likely to occur in the postoperative phase [6]. Airway obstruction may be detected readily by observation of the reservoir bag during anaesthesia, particularly when desaturation is likely to occur-on induction, mask application, insertion of the prop and during dental extractions [3,7]. After operation, airway obstruction may be more difficult to detect because of the lateral position of the child, the presence of large oral packs, and (usually) a poor fitting face mask.…”

Section: Discussionmentioning

confidence: 99%

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Oxygen Desaturation After Dental Anaesthesia

Lanigan

1992

British Journal of Anaesthesia

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The incidence of oxygen desaturation (less than 91%) was measured by pulse oximetry during recovery from outpatient dental anaesthesia in 120 ASA grade I and II children. Alternate cases were given supplementary oxygen 5 litre min-1 by mask. Eighteen of 60 children (30%) given air and 14 of 60 (23%) given oxygen exhibited desaturation (P greater than 0.05). Desaturation was more likely to occur if the child was cared for during recovery by locum rather than permanent nursing staff: 22 of 64 (34%) compared with 10 of 56 (18%) (P less than 0.05). It is concluded that significant desaturation is common after brief dental anaesthesia, that the incidence of desaturation is not reduced significantly by supplementary oxygen and that careful supervision of patients by experienced recovery room staff is necessary after dental anaesthesia.

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Section: Discussionmentioning

confidence: 99%

“…However, patient safety must not be compromised." The pulse oximeter, already recommended during anaesthesia [7,11,12], should be available in the recovery period as well [11]. It might also help train individuals to maintain and protect the airway, and "recognise, diagnose and apply appropriate resuscitatory measures without delay" [11,13].…”

Section: Discussionmentioning

confidence: 99%

Oxygen Desaturation After Dental Anaesthesia

Lanigan

1992

British Journal of Anaesthesia

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Comparison of Non-Invasive Mechanical Ventilation and Nasal Cannula Use in Deep Sedation Procedures Performed for Dental Treatments of Children

Yaşlı

Canpolat

Demirbaş

2021

Sağlık Bilimleri Dergisi

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For deep sedation procedures, supplemental oxygen is usually administered via a nasal cannula to the patients. Non-invasive mechanical ventilation (NIMV) is the oxygenation method, especially used in the treatment of hypoxia. We aimed to compare the use of nasal cannula and NIMV applications as oxygenation methods for deep sedation procedures in the dental treatments of children, especially in terms of patient safety and the convenience of the dentist to apply the treatment. Patients were divided into two groups as the nasal mask group (M) and the nasal cannula group (N). For oxygenation, while a nasal cannula was used for group N, NIMV with a nasal mask was applied for group M. Hemodynamic parameters of the patients, complications and dentist's satisfaction degree were recorded and compared. Saturation of blood oxygen (SpO2) was significantly higher in group M after induction of anesthesia and in the fifth minute of the procedure. Hypoxia (SpO2 ≤90) event number during the procedure was significantly higher in group N. Surgeon satisfaction was significantly higher in group M. We concluded that, in children undergoing deep sedation for dental treatments, NIMV applied with a nasal mask reduces the risk of hypoxia and is safer than using a nasal cannula.

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Use of Continuous Positive Airway Pressure in Paediatric Dental Extraction Under General Anaesthesia

Cited by 2 publications

References 27 publications

Oxygen Desaturation After Dental Anaesthesia

Oxygen Desaturation After Dental Anaesthesia

Comparison of Non-Invasive Mechanical Ventilation and Nasal Cannula Use in Deep Sedation Procedures Performed for Dental Treatments of Children

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