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Pediatric tooth extractions under sedoanalgesia
Ayse Hande Arpaci1, Berrin Isik2
1Dr. Ayse Hande Arpaci, MD. Assistant Professor, Anaesthesiology Reanimation Specialist Oral & Maxillofacial Department, Faculty of Dentistry, Ankara University, Besevler, Ankara, Turkey.
Pakistan Journal of Medical Sciences
|November 25, 2016
Summary
Intravenous ketamine is a safe and effective anesthetic for pediatric tooth extractions, showing fewer side effects and agitation than inhalation anesthesia. Surgeons preferred ketamine for its efficacy and safety profile in pediatric sedoanalgesia.
Area of Science:
- Anesthesiology
- Pediatric Dentistry
Background:
- Sedation is crucial for pediatric dental procedures.
- Evaluating anesthetic options for pediatric tooth extraction is important.
Purpose of the Study:
- To compare intravenous ketamine with inhalation sedation for pediatric tooth extractions.
- To assess side effects and surgeon satisfaction with different anesthetic methods.
Main Methods:
- A retrospective study of 922 children (1-18 years) undergoing tooth extraction.
- Comparison of intravenous ketamine (n=822) versus inhalation anesthesia (n=100).
- Evaluation of postoperative agitation using the Watcha Behavior Scale (WBS).
Main Results:
- Intravenous ketamine showed significantly lower rates of postoperative agitation (WBS≥3) compared to inhalation anesthesia (p<0.05).
- Nausea (3.6%) and skin rashes (3.2%) were observed with ketamine, while skin rashes (1%) occurred with inhalation.
- 95% of surgeons preferred intravenous ketamine over inhalation anesthesia.
Conclusions:
- Intravenous ketamine is a safe and effective anesthetic for pediatric tooth extractions.
- Ketamine's properties minimize aspiration risk and provide adequate sedation.
- Ketamine offers superior outcomes regarding postoperative recovery and surgeon preference.
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