与深度镇静下进行的儿科牙科治疗的实际计划相比估计:一项回顾性队列研究
Moti Moskovitz1, Eva Cohen-Solal2, Kobi Efrat1
1Department of Pediatric Dentistry, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
International journal of paediatric dentistry
|July 1, 2024
概括
在深度镇静下进行的儿科牙科治疗通常涉及比最初计划的更多的牙和更大的复杂性. 较长的等待时间与儿童需要镇静剂的更广泛的治疗需求相关.
科学领域:
- 儿科牙科 儿科牙科
- 镇静牙科 镇静牙科
- 牙科公共卫生 牙科公共卫生
背景情况:
- 由于时间和麻醉的限制,在深度镇静下准确规划儿科牙科治疗至关重要.
- 镇静时间通常限制在一个小时内,局部麻醉剂的剂量取决于体重.
- 了解计划和实际治疗之间的差异对于有效的资源分配至关重要.
研究的目的:
- 为了将估计的儿科牙科治疗计划与在静脉内深度镇静下进行的实际治疗进行比较.
- 确定影响计划和执行牙科手术之间的差异的因素.
主要方法:
- 追溯队列研究的设计.
- 数据收集来自儿童患者 (<18岁) 的医疗记录,在静脉内深度镇静下进行牙科治疗 (2019-2021年).
- 与初始估计相比,对治疗范围和复杂性的分析.
主要成果:
- 这项研究共包括了108名儿童.
- 实际的治疗涉及的牙和复杂性比最初估计的要多得多 (p < .001).
- 与估计相比,更长的治疗等待时间与更多的治疗牙和治疗复杂性的增加有关 (p = .003).
结论:
- 在深度镇静下实际的儿科牙科治疗超过了初步估计的治疗牙和复杂性.
- 对深度镇静的推应考虑潜在低估治疗需求的儿童.
- 改善治疗前评估可能是必要的,以更好地协调计划和实际的牙科程序.
相关概念视频
Stages of General Anesthesia
413
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
413
Inhalational Anesthetics: Overview
260
Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
260


