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행동조절장애 환자에서 치과치료를 위한 외래마취의 분석
The Analysis of Outpatient Anesthesia for Dental Treatment in Handicapped Patients with Behavior Disorder

대한치과마취과학회지 2014년 14권 1호 p.57 ~ 62

반민희, 정성수,

소속 상세정보

반민희 ( Ban Min-Hee ) - 전남대학교 치과병원
정성수 ( Chung Sung-Su ) - 전남대학교 치의학전문대학원 마취과학교실

KMID : 0980220140140010057

Abstract

Background: The aim of this study was to analyze outpatient anesthesia for dental treatment in handicapped patients with behavior disorder in order to use data for carrying out better and safe anesthetic management.

Methods: The data were drawn from the 100 patients with behavior disorder who visited CNUDH dental clinic for disabled based on anesthesia record to investigate patient’s systemic condition, cooperative level, anesthesia method according to patients cooperation, and side effects after recovery time.

Results: Mental retardation (58%) is the most reason to choose general anesthesia. The methods of induction according to cooperative level are intravenous propofol injection in 22 cases and inhalation of sevoflurane in 78 cases. Induction time of anesthesia were within 10 seconds in cases of propofol induction and average 48.8 ± 18.5 seconds in cases of inhalation induction. The time spent on dental treatment was average 3.2 ± 1.1 hours. After the end of treatment, average time to move from unit chair to recovery bed, to recliner, and to discharge from hospital are 10.4 ± 5.1, 36.9 ± 17.1 and 72.4 ± 16.0 minutes, respectively. During recovery, there are nausea with 9%, vomiting with 4%, dizziness with 2%, finger injury with 1%.

Conclusions: This study showed our successful anesthetic outcomes without any severe side effects or complications. Through this study, it will be used for safe anesthetic management as useful reference data.