Anesthetic Complications and Relating Factors in 1-10 Year-Old-Child Underwent Elective Dental Procedure Under General Anesthesia in Golden Jubilee Medical Center, Faculty of Medicine Siriraj Hospital, Mahidol University.
Keywords:
anesthetic related complication, pediatric dental procedure, pre-anesthetic respiratory problems, bronchospasm and wheezingAbstract
Abstract
Objectives: The purpose was to study the rate of complications and relating anesthetic factors in 1-10 year-old-children underwent elective dental procedure under general anesthesia between 2008-2018 in Golden Jubilee Medical Center, Faculty of Medicine Siriraj Hospital, Mahidol University.
Methods: The electronic medical record of the hospital between 2008 and 2018 were retrospective reviewed. Demographic data, preoperative problems, intraoperative and postoperative data and complications were obtained and analyzed.
Results: The study found that the rate of complications was 47 out of a total of 117 cases, accounting for 40.2 percent. The most common complications were post-operative dental pain, nausea and vomiting, bradycardia, bronchospasm and wheezing, emergence agitation, delayed emergence after anesthesia, and corneal abrasion accounting for 22.2%, 9.4%, 8.5%, 7.7%, 3.4%, 1.7%, 0.9% ,and 0.9% respectively. Two cases (0.02%) needed to be hospitalized after the procedure because of aspiration pneumonia and corneal abrasion. There were significant correlations between anesthetic complications and age, pre-anesthetic respiratory problems (p-value = .037 and .003 respectively), and also between bronchospasm-wheezing and pre-anesthetic respiratory problems ( p-value = .005 ). The anesthetic complications were found no relationship with weight, ASA classification, and anesthetic time.
Conclusions: General anesthesia for pediatric dental procedure is a challenge for anesthesiologists. The anesthetic complications were related to the age and pre-operative respiratory problems additionally, pre-operative respiratory problem related bronchospasm- wheezing. The anesthesiologists must have experience, knowledge, expertise and always be careful to prevent the complications.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
