Airway Management and General Anesthesia in Pediatric Patients with Special Needs Undergoing Dental Surgery: A Retrospective Study

被引:2
作者
Ciccozzi, Alessandra [1 ,2 ]
Lupi, Ettore [2 ]
Necozione, Stefano [1 ]
Giovannetti, Filippo [1 ,2 ]
Oliva, Antonio [2 ]
Ciuffini, Roberta [1 ]
Angeletti, Chiara [3 ]
Marinangeli, Franco [1 ,2 ]
Piroli, Alba [1 ,2 ]
机构
[1] Univ LAquila, Dept Life Hlth & Environm Sci MeSVA, I-67100 Laquila, Italy
[2] San Salvatore Teaching Hosp LAquila, I-67100 Laquila, Italy
[3] Mazzini Hosp, Dept Anaesthesia, Teramo, Italy
关键词
difficult airway; pediatrics; general anesthesia; psychophysical disorders;
D O I
10.3390/reports7030079
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: The definition of patients with special needs (SNs) is used in the literature to refer to individuals with mental and physical disorders for whom the usual perioperative pathways are not applicable due to lack of cooperation, regardless of age. Studies in the literature recognize the appropriateness of general anesthesia for performing day surgery dental care in this type of patient. Objectives: The main objective was to assess the possible incidence of difficult airway management, understood as difficulty ventilating and/or intubating the patient. A secondary objective was to highlight the influence of general anesthesia on patient outcomes by testing the incidence of perioperative complications. Methods: The present retrospective, single-center, observational study involved 41 uncooperative patients aged between 3 and 17 undergoing dental surgery under general anesthesia. Data relating to airway management and general anesthesia present in the medical records were analyzed. Results: Tracheal intubation was successfully completed in all of the patients considered, and in no case did the patient have to be woken up because of difficulty in airway management. No perioperative complications attributable to anesthesia were found in any patients. Conclusions: From the present experience, it can be concluded that general anesthesia is a suitable option for performing dental care in pediatric subjects with special needs, and that although the peculiar perioperative management of these patients might increase the risk of possible anesthesia-related side effects, no complications have been encountered in any case.
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页数:12
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