小儿牙科病例的全身麻醉时间。
General anesthesia time for pediatric dental cases.
作者信息
Forsyth Anna R, Seminario Ana Lucia, Scott Joanna, Berg Joel, Ivanova Iskra, Lee Helen
出版信息
Pediatr Dent. 2012 Sep-Oct;34(5):129-35.
PURPOSE
The purpose of this study was to describe the use of operating room (OR) time for pediatric dental procedures performed under general anesthesia (GA) at a regional children's hospital over a 2-year period.
METHODS
A cross-sectional review of a pediatric dental GA records was performed at Seattle Children's Hospital. Data were collected for 709 0- to 21-year-old patients from January 2008 to December 2009. Demographic data, dental and anesthesia operator types, and procedures were recorded. Utilization of OR time was analyzed.
RESULTS
The mean age of patients was 7.1 years (±4.2 SD), and 58% were male. Distribution by American Society of Anesthesiology (ASA) classifications were: ASA I 226 (32%); ASA II 316 (45%); ASA III 167 (24%). Cases finished earlier than the scheduled time by an average of 14 minutes (±28). Overrun time was significantly associated with: patient age (P=.01); ASA classification (P=.006); treatment type (P<.001); number of teeth treated (P<.001); and dentist operator type (P=.005).
CONCLUSIONS
Overall, 73% of dental procedures under GA finished early or on time. Significant variables included patient age, medical status, treatment type and extent, and dentist operator type. Assessing factors that impact the time needed in GA may enhance efficiency for pediatric dental procedures.
目的
本研究旨在描述一家地区儿童医院在两年时间内全身麻醉（GA）下进行儿科牙科手术的手术室（OR）时间使用情况。
方法
对西雅图儿童医院的儿科牙科GA记录进行横断面回顾。收集了2008年1月至2009年12月期间709名0至21岁患者的数据。记录了人口统计学数据、牙科和麻醉操作人员类型以及手术情况。分析了手术室时间的利用情况。
结果
患者的平均年龄为7.1岁（标准差±4.2），58%为男性。根据美国麻醉医师协会（ASA）分类的分布情况为：ASA I 226例（32%）；ASA II 316例（45%）；ASA III 167例（24%）。手术结束时间比预定时间平均提前了14分钟（标准差±28）。超时与以下因素显著相关：患者年龄（P = 0.01）；ASA分类（P = 0.006）；治疗类型（P < 0.001）；治疗牙齿数量（P < 0.001）；以及牙医操作人员类型（P = 0.005）。
结论
总体而言，73%的GA下牙科手术提前或按时完成。显著变量包括患者年龄、健康状况、治疗类型和范围以及牙医操作人员类型。评估影响GA所需时间的因素可能会提高儿科牙科手术的效率。
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