[Risks and complications anesthesia with intubation during dental treatment].
In many hospitals and dental clinics the delivery of dental care under general anesthesia is a routine practice. Most often mentally handicapped patients and uncooperative children are concerned. In order to minimise the risk of anesthesia-related complications, an exact preoperative examination of anatomic particularities and accompanying diseases is mandatory. An analysis of 402 anesthesias performed from 1992 to 1995 revealed a 13.9% of complications. Main problems observed were difficult intubation and marked drop in blood pressure. Despite of a relatively low anesthetic risk we still limit ambulatory anesthesias to patients belonging to the ASA risk groups 1 and 2 with a maximum extent of the narcosis of 2 hours.
Pirwitz
B
B
Département de Chirurgie Maxillo-Faciale, Université de Leipzig, Allemagne.
Schlender
M
M
Enders
A
A
Knauer
O
O
D000553:Ambulatory Care; D000766:Anesthesia, Dental / Q000009:adverse effects*; D000768:Anesthesia, General / Q000009:adverse effects*; D000769:Anesthesia, Inhalation; D000771:Anesthesia, Intravenous; D001794:Blood Pressure; D001919:Bradycardia / Q000209:etiology; D002648:Child; D002652:Child Behavior; D019140:Dental Care for Children; D003730:Dental Care for Persons with Disabilities; D005500:Follow-Up Studies; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D007022:Hypotension / Q000209:etiology; D008607:Intellectual Disability; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D010149:Postoperative Pain / Q000517:prevention & control; D011182:Postoperative Care; D011229:Preanesthetic Medication; D012307:Risk Factors; D013997:Time Factors
D006993:Hypnotics and Sedatives
Risques et complications de l'anesthésie par intubation lors d'un traitement dentaire.