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牙科手术中接受全身麻醉的门诊患者发病率最低。

Minimal morbidity in outpatients undergoing oral surgical procedures under general anaesthesia in the dental surgery.

作者信息

Hempenstall P D, de Plater R M

出版信息

Aust Dent J. 1991 Apr;36(2):102-8. doi: 10.1111/j.1834-7819.1991.tb01337.x.

Abstract

Economic pressures have resulted in an increased demand for surgical treatment under general anaesthesia on an outpatient basis. Previous studies have reported a high incidence of severe morbidity associated with general anaesthesia in both general dentistry and oral surgery. This is particularly marked with dento-alveolar procedures. The ready availability of relatively inexpensive monitoring equipment together with upgraded standards recently announced by various authorities necessitates that all practitioners review their current practices in the areas of sedation and general anaesthesia. In addition to the ultimate importance of patient care and safety, the increased incidence of litigation leaves no latitude for complacency. This paper details a relatively simple, cost-effective general anaesthetic technique suitable for outpatient oral surgical procedures in the dental surgery in which all relevant recommendations at the time of writing were observed or exceeded. Associated morbidity was considerably less than previously reported, with a high degree of patient satisfaction.

摘要

经济压力导致门诊全身麻醉下手术治疗的需求增加。先前的研究报告称,在普通牙科和口腔外科中,全身麻醉相关的严重发病率很高。这在牙槽手术中尤为明显。相对廉价的监测设备的 readily availability 以及各当局最近宣布的标准升级,使得所有从业者有必要重新审视他们在镇静和全身麻醉领域的现行做法。除了患者护理和安全的至关重要性外,诉讼发生率的增加也容不得自满。本文详细介绍了一种相对简单、具有成本效益的全身麻醉技术,适用于牙科手术中的门诊口腔外科手术,在撰写本文时,该技术遵守或超过了所有相关建议。相关发病率远低于先前报告的水平,患者满意度很高。

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