KMID : 1144020090050010012
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Journal of Korean Association for Disability and Oral Health 2009 Volume.5 No. 1 p.12 ~ p.17
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CLINICO-STATISTICAL ANALYSIS OF DEEP SEDATION COMPARED WITH GENERAL ANESTHESIA AT THE CLINIC FOR THE DISABLED
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Seo Kwang-Suk
Shin Teo-Jeon Kim Hyun-Jeong Han Hee-Jung Han Jin-Hee Kim Hye-Jung Chang Ju-Hea Shin Hye-Young
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Abstract
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Background : To do dental treatments successfully for dentally disabled patients who are unable to cooperate to procedures needs deep sedation (DS) or general anesthesia (GA). But there are some difficulties in selecting DS because of some disadvantages such as airway problem etc. But, if we select appropriate cases, DS would be better than GA. Methods : We reviewed total 238 cases of patients who had received dental treatments under GA or DS at the clinic for the disabled in Seoul National University Dental Hospital from November 2007 to February 2009. To compare anesthesia condition between DS and GA, we reviewed preanesthesia evaluation sheet, anesthesia or sedation records and PACU sheets retrospectively. Results : The number of DS cases was 25 (11%) and that of GA was 218 (89%). To maintain DS, intravenous propofol was infused with syringe pump (100%), and sevoflurane (134 cases) or propofol (13 cases) were used for sedation induction. Mean total treatment time for DS was 36 min and 2 hour 25 min for GA. The recovery time at PACU was 44 min for DS and 80 min for GA. There were no severe complications in DS, but 18 cases showed nausea and vomiting in GA. Conclusion : Deep sedation for disabled dental patients should be selected for effective behavioral control in conjunction with general anesthesia, considering duration and pain-evoking potentials of dental treatment and type and severity of patients¡¯ disabilities altogether.
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KEYWORD
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Deep sedation, General anesthesia, Dental treatment, Disabilities
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