The safety of paediatric dentistry procedures under general anaesthesia. A five-year experience of a tertiary care center

Authors

  • AK Bartella MD - Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie Universitätsklinikum Aachen, Aachen
  • C Lechner Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie Universitätsklinikum Aachen, Aachen
  • M Kamal MD, DMD - Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie Universitätsklinikum Aachen, Aachen
  • J Steegmann Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie Universitätsklinikum Aachen, Aachen
  • F Hölzle MD, DMD, PhD - Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie Universitätsklinikum Aachen, Aachen
  • B Lethaus MD, DMD, PhD - Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie Universitätsklinikum Aachen, Aachen

DOI:

https://doi.org/10.23804/ejpd.2018.19.01.08

Keywords:

Adverse reactions, General anaesthesia, Medical conditions

Abstract

AIM: Frequently general anaesthesia (GA) is used to treat noncompliant children. Especially in children with morbid diseases general anaesthesia can be a challenging procedure for anaesthetists. The aim of this paper was to evaluate the risks and adverse reactions with a special focus on the impact of existing medication conditions and syndromes. METHODS: and methods Records of children up to 10 years of age, who were admitted for paediatric dentistry procedures under GA from January 2011 to December 2016 at the University Hospital of the University of Aachen (Germany), were reviewed. A special attention was paid to the intra- and perioperative critical adverse reactions and concomitant systemic conditions and their impact on treatment outcome. CONCLUSION: Although the administration of general anaesthesia in infants and children can be regarded as a safe procedure, clinically significant adverse reactions can occur, especially in patients with an existing medical condition.