School of Dental Sciences, Newcastle University, Newcastle upon Tyne, UK.
North Cumbria Integrated Care NHS Foundation Trust, Cumbria, UK.
Spec Care Dentist. 2022 Jan;42(S1):3-32. doi: 10.1111/scd.12652.
General anaesthesia (GA) may be required to support the care of those seen in Special Care Dentistry (SCD) services for various reasons, such as enabling extensive dental care for people with severe learning disabilities or severe dental phobia. Guidance is needed for teams delivering SCD using GA due to the potential risks, implications, and costs of using GA to deliver dental care.
To present evidence-based recommendations, where possible, for teams involved in providing GA for dental care for adults within SCD services.
A multidisciplinary working group, supported by a formal literature search and stakeholder involvement, iteratively produced and refined the recommendations presented.
There was little evidence to inform the guidelines. Recommendations are therefore based mainly on the working group's expert consensus opinion. Clinical guidelines are presented as a set of overarching principles followed by six key sections reflecting patients' pathways from referral to dental services through to their care during and after GA.
Guidelines are presented to support those providing GA to provide SCD. The need for comprehensive and person-centered assessment and planning is emphasized.
由于使用全身麻醉（GA）为患者提供牙科护理可能存在潜在风险、影响和成本，因此对于提供特殊护理牙科（SCD）服务的团队来说，需要使用 GA 来提供牙科护理时，需要提供相应的指导。
为参与为 SCD 服务中成人提供 GA 牙科护理的团队提供循证建议。
一个多学科工作组，在正式的文献检索和利益相关者参与的支持下，迭代地生成和完善了所提出的建议。
几乎没有证据可以为这些指南提供信息。因此，建议主要基于工作组的专家共识意见。临床指南以一套总体原则呈现，后面是六个关键部分，反映了患者从转诊到牙科服务到在 GA 期间和之后的护理的途径。
本指南旨在为提供 GA 的人员提供支持 SCD 的建议。强调需要全面和以患者为中心的评估和规划。
