Pirwitz B, Schlender M, Enders A, Knauer O
Département de Chirurgie Maxillo-Faciale, Université de Leipzig, Allemagne.
Rev Stomatol Chir Maxillofac. 1998 Feb;98(6):387-9.
In many hospitals and dental clinics the delivery of dental care under general anesthesia is a routine practice. Most often mentally handicapped patients and uncooperative children are concerned. In order to minimise the risk of anesthesia-related complications, an exact preoperative examination of anatomic particularities and accompanying diseases is mandatory. An analysis of 402 anesthesias performed from 1992 to 1995 revealed a 13.9% of complications. Main problems observed were difficult intubation and marked drop in blood pressure. Despite of a relatively low anesthetic risk we still limit ambulatory anesthesias to patients belonging to the ASA risk groups 1 and 2 with a maximum extent of the narcosis of 2 hours.
在许多医院和牙科诊所,全身麻醉下提供牙科护理是一种常规做法。最常涉及的是智力障碍患者和不合作的儿童。为了将麻醉相关并发症的风险降至最低,术前对解剖学特殊性和伴随疾病进行精确检查是必不可少的。对1992年至1995年进行的402例麻醉的分析显示,并发症发生率为13.9%。观察到的主要问题是插管困难和血压显著下降。尽管麻醉风险相对较低,但我们仍将门诊麻醉限制在ASA风险等级为1和2的患者,麻醉最长时间为2小时。