Anesthetist مراقب عام
عدد الرسائل : 8 احترام المنتدى : السنة الدراسية : Other تاريخ التسجيل : 26/02/2009
| موضوع: General Anesthesia During Dental Treatment Deemed Safe For Special Needs Population الأحد مارس 01, 2009 9:44 pm | |
| Patients with special needs often undergo general anesthesia for dental treatment as a way to avoid risks of injury and excessive stress. A new study assessed the safety of general anesthesia for dental treatment of special needs patients as it related to the American Society of Anesthesiology Physical Status (ASAPS) classification, procedure, and other factors, finding that it is safe. The study is published in the latest issue of Anesthesia Progress
Patients with mental and physical limitations often pose a challenge when needing dental treatment. Lack of cooperation, combative behavior, and physical limitations can make conventional treatment under local anesthesia very difficult and sometimes impossible. To avoid injury and excessive stress as well as the inability to provide high quality and well-delivered dental care, dentists often resort to the management of their special needs patients under general anesthesia. Although comprehensive dental rehabilitation (CDR) is usually described as a minimally invasive procedure, the study's researchers said that the special needs population has its own unique challenges which may not necessarily correlate with the general agreed criteria for anesthetic risks
In the study, data from 363 records was analyzed and tabulated. The researchers chose to highlight two case studies that illustrated some of the issues for the special needs population. Some of the unexpected anesthetic challenges were
- limited preanesthesia assessment of airway and general physical condition
- limited medical risk assessment due to lack of cooperation or lack of access to medical support systems
- lack of compliant care-taker network to ensure preanesthesia and postanesthesia compliance. Surgical complications included
- surgical "surprises", making the stratification of risk and the estimate of procedure time difficult to assess
- undiagnosed dental and oral diseases requiring more aggressive intervention
- poor after-care and compliance which can complicate what otherwise would be considered routine care
Despite the "surprises" and complications, the researchers found that general anesthesia for CDR performed in a major teaching medical center is safe and necessary. It is important to compare the level of risk versus benefit and make this clear to the patient or family member, the researchers said
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Dr.Dorsy المستشار
عدد الرسائل : 186 العمر : 36 الموقع : www.amic.ly العمل/الترفيه : Import Manager المزاج : Just Fine احترام المنتدى : السنة الدراسية : Internal ship تاريخ التسجيل : 08/02/2009
| موضوع: رد: General Anesthesia During Dental Treatment Deemed Safe For Special Needs Population الإثنين مارس 02, 2009 3:56 pm | |
| Well said !
and that's one of the very important new researchers
but also, before performing this new technique, we should conseder the indications and contra-indications, and conditions of any systemic diseases that the patient may suffer from.
Thank you for this information Keep the good work
and God Bless you | |
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Dr.Insaf المدير العام
عدد الرسائل : 997 العمر : 41 الموقع : https://www.facebook.com/pages/Brush/187262171338671 المزاج : الحمد لله تمام احترام المنتدى : السنة الدراسية : Internal ship تاريخ التسجيل : 07/02/2009
| موضوع: رد: General Anesthesia During Dental Treatment Deemed Safe For Special Needs Population الأربعاء ديسمبر 29, 2010 7:56 pm | |
| Despite the "surprises" and complications, the researchers found that general anesthesia for CDR performed in a major teaching medical center is safe and necessary.
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Important informations . Thanks alot .
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