Boynes Sean G, Moore Paul A, Lewis Christopher L, Zovko Jayme, Close John M
Department of Anesthesiology, University of Pittsburgh, School of Dental Medicine, Pittsburgh, Pennsylvania, USA.
Spec Care Dentist. 2010 Jan-Feb;30(1):3-7. doi: 10.1111/j.1754-4505.2009.00114.x.
The goal of this study was to identify and quantify complications occurring with the administration of anesthesia for the dental treatment of patients with special needs. Anesthesia providers completed a standardized evaluation form, delineating possible complications for 202 consecutive ambulatory patients receiving anesthesia in a special needs clinic. Statistical analysis of four types of administered anesthesia showed that the overall complication rate was 23.8%. Evaluation of the data showed complications that were considered either mild (95.8%), or moderate (4.2%), while no reports of severe complications occurred. Airway obstruction and nausea/vomiting were the most frequently encountered complications. Variables found to affect the incidence of anesthetic complications included ASA classification, anesthetic technique, Mallampati airway classification, and type of dental procedure performed. An evaluation of the results of the study showed that the majority of complications that occurred with anesthesia during care of patients with special needs were mild and did not lead to severe adverse events. Our findings show that anesthesia administered during dental treatment for patients with special needs is safe and effective.
本研究的目的是识别和量化在为特殊需求患者进行牙科治疗时实施麻醉所出现的并发症。麻醉提供者填写了一份标准化评估表，描述了在一家特殊需求诊所连续接受麻醉的202例门诊患者可能出现的并发症。对四种麻醉方式的统计分析表明，总体并发症发生率为23.8%。对数据的评估显示，并发症被认为是轻度的（95.8%）或中度的（4.2%），而未出现严重并发症的报告。气道梗阻和恶心/呕吐是最常遇到的并发症。发现影响麻醉并发症发生率的变量包括美国麻醉医师协会（ASA）分级、麻醉技术、马兰帕蒂气道分级以及所进行的牙科手术类型。对该研究结果的评估表明，在特殊需求患者护理期间麻醉所出现的大多数并发症是轻度的，并未导致严重不良事件。我们的研究结果表明，为特殊需求患者进行牙科治疗时实施的麻醉是安全有效的。
