Paediatric Dentistry, Charles Clifford Dental Services, Sheffield Teaching Hospitals NHS Foundation Trust, Wellesley Road, Sheffield, UK; Sheffield Children's NHS Foundation Trust, Western Bank, Sheffield, S10 2TH, UK.
Paediatric Dentistry, Charles Clifford Dental Services, Sheffield Teaching Hospitals NHS Foundation Trust, Wellesley Road, Sheffield, UK; Sheffield Children's NHS Foundation Trust, Western Bank, Sheffield, S10 2TH, UK; Unit of Oral Health, Dentistry & Society, School of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield, UK.
Br Dent J. 2020 Feb;228(4):255-258. doi: 10.1038/s41415-020-1256-9.
Introduction The use of general anaesthesia in paediatric dentistry should be appropriate and justified. During the treatment of children, a clinician should have foresight into the future dental requirements of the patient and whether a future general anaesthetic will be required in quick succession. Efforts should be made when possible to avoid this.Aims This service evaluation was performed to gather information regarding repeat dental general anaesthetics within Sheffield Children's Hospital NHS Foundation Trust.Methods All children's records who had experienced a repeat dental general anaesthetic between 1 January 2015 and 31 December 2018 were analysed. Those who had experienced a repeat dental general anaesthetic within two years were investigated.Results Overall, 0.63% of children had a repeat dental general anaesthetic within a two-year period. These repeat dental general anaesthetics were mainly justified due to new dental caries. 43.9% had modifying factors, such as a complex medical history, that could have impacted the need for a second dental general anaesthetic.Conclusion The repeat rate in Sheffield Children's Hospital NHS Foundation Trust is low. We believe this is a result of specialist treatment planning and appropriate use of both 'extraction only' and 'restorative and extraction' GA lists.
引言
儿科牙科中使用全身麻醉应是适当且合理的。在治疗儿童时，临床医生应该对患者未来的牙科需求有远见，并且是否需要在短时间内再次进行全身麻醉。应尽可能努力避免这种情况。
目的
本服务评估旨在收集谢菲尔德儿童医院 NHS 基金会信托基金内重复牙科全身麻醉的相关信息。
方法
分析了所有在 2015 年 1 月 1 日至 2018 年 12 月 31 日期间经历过重复牙科全身麻醉的儿童的记录。对两年内经历过重复牙科全身麻醉的儿童进行了调查。
结果
总体而言，0.63%的儿童在两年内接受了重复的牙科全身麻醉。这些重复的牙科全身麻醉主要是由于新的龋齿引起的。43.9%的儿童有复杂的医疗史等影响因素，可能需要第二次全身麻醉。
结论
谢菲尔德儿童医院 NHS 基金会信托基金的重复率较低。我们相信这是由于专科治疗计划以及适当使用“仅拔牙”和“修复和拔牙”GA 列表的结果。
