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Hemodynamic and ventilatory changes in pediatric patients with special needs: A comparative clinical study

Silvia Pérez-García1, Juan-Antonio Ruiz-Roca2, Cristobal Añez3

  • 1DDS, MS. Assistant Professor. Department of Oral and Maxillofacial Surgery. Universitat Internacional de Catalunya, Sant Cugat del Vallés (Barcelona), Spain.

Journal of Clinical and Experimental Dentistry
|December 2, 2022
PubMed

Insights

Intellectually disabled children (CSN) showed lower heart rate (HR) and bispectral index (BIS) values during dental procedures compared to healthy children (HC). Hemodynamic and ventilatory changes were similar between groups, except for HR and BIS.

Area of Science:

  • Anesthesiology
  • Pediatric Dentistry
  • Neuroscience

Background:

  • Limited data exists on hemodynamic and ventilatory changes during anesthesia in intellectually disabled children.
  • Bispectral index (BIS) monitoring is crucial for assessing sedation depth.

Purpose of the Study:

  • To compare hemodynamic and ventilatory changes in children with special needs (CSN) versus healthy children (HC) during dental treatment.
  • To evaluate the effects of propofol and sevoflurane sedation on BIS values in these pediatric groups.

Main Methods:

  • Forty pediatric patients were divided into CSN and HC groups.
  • Sedation was induced using sevoflurane and propofol, with local anesthesia.
  • Hemodynamic (BP, HR) and ventilatory (SaO2, RR, CO2) parameters, along with BIS, were continuously monitored.

Main Results:

  • Systolic and diastolic blood pressure (BP) and respiratory rate (RR) decreased similarly in both groups.
  • Heart rate (HR) and BIS values were significantly lower in the CSN group compared to the HC group (p ≤ 0.05).

Conclusions:

  • Children with special needs exhibit lower HR and BIS values under sedation compared to healthy children.
  • Blood pressure, oxygen saturation, and exhaled CO2 levels remain comparable between CSN and HC groups during dental procedures.
Abstract

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