Study on Recovery Quality and Related Influencing Factors after Pediatric Dental Therapy under Ambulatory General Anesthesia

doi:10.13701/j.cnki.kqyxyj.2021.02.012

Abstract

Abstract: Objective: To explore the recovery quality and related influencing factors of pediatric dental therapy under ambulatory general anesthesia. Methods: A total of 418 children, aged 2-6 years old, American Society of Anesthesiologists physical status being Ⅰ or Ⅱ, with dental caries receiving dental therapies under ambulatory general anesthesia were included. Scoring system for sore throat, cough, hoarseness, and post-operative quality recovery scale were used to evaluate the recovery quality 24 h after general anesthesia. The recovery of each item after anesthesia was analyzed. Meanwhile five possible related influencing factors were analyzed, including gender, age, duration of anesthesia, number of teeth treated, and dosage of sevoflurane. Results: The sore throat, cough, and hoarseness were mainly mild at 24 h after general anesthesia, the incidences were 18.4%, 22.3%, and 23% respectively. The incidence of mild and moderate postoperative nausea and vomiting (PONV) were 8.4% and 0.2%, respectively. The incidences of mild, moderate, and severe toothache were 44.0%, 13.2%, and 0.9%, respectively. The incidence of mild depression and anxiety were 30.4% and 19.9%. There were significant differences in cough and PONV between different genders (P<0.05). There were significant differences in PONV and depression among different anesthesia duration groups (P<0.05). There were significant differences in sore throat and hoarseness among different number of teeth treated groups (P<0.05). There was no statistical significance in the different age groups and sevoflurane dosage groups. Conclusion: Gender, anesthesia duration, and number of teeth treated have some influence on the recovery of children receiving pediatric dental therapy under ambulatory general anesthesia. There is still some room for the improvement of the recovery quality after pediatric dental therapy under ambulatory general anesthesia.

Key words: general anesthesia, pediatric dental therapy, recovery, postoperative

LIU Bing, FENG Caihua, ZHANG Guoliang, ZHANG Yaqiu, LIANG Lirong, WANG Peijuan, YAN Wei, ZHANG Hui. Study on Recovery Quality and Related Influencing Factors after Pediatric Dental Therapy under Ambulatory General Anesthesia[J]. Journal of Oral Science Research, 2021, 37(2): 144-147.

References

[1] Savanheimo N, Vehkalahti MM. Five-year follow-up of children receiving comprehensive dental care under general anesthesia [J]. BMC Oral Health, 2014, 14(1):154.
[2] Chietero M, Roth R. Office-based anesthesia: Anesthetic techniques, drug selection, and discharge criteria [J]. Seminars in Anesthesia, Perioperative Medicine and Pain, 2006, 25(1):13-18.
[3] Walsh MT. Improving outcomes in ambulatory anesthesia by identifying high risk patients [J]. Curr Opin Anaesthesiol, 2018, 31(6):569-666.
[4] Shaaban AR, Kamal SM. Comparison between betamethasone gel applied over endotracheal tube and ketamine gargle for attenuating postoperative sore throat, cough and hoarseness of voice [J]. Middle East J Anaesthesiol, 2012, 21(4):513-519.
[5] Royse CF, Newman S, Chung F, et al. Development and feasibility of a scale to assess postoperative recovery: the post-operative quality recovery scale[J]. Anesthesiology, 2010, 113(4):892-905.
[6] Lee JY, Sim WS, Kim ES, et al. Incidence and risk factors of postoperative sore throat after endotracheal intubation in Korean patients [J]. J Int Med Res, 2017, 45(2):744-752.
[7] Calder A, Hegarty M, Erb TO, et al. Predictors of postoperative sore throat in intubated children [J]. Paediatr Anaesth, 2012, 22(3):239-243.
[8] Brennan MT, Kent ML, Fox PC , et al. The impact of oral disease and nonsurgical treatment on bacteremia in children [J]. J Am Dent Assoc, 2007, 138(1):80-85.
[9] K?nig MW, Varughese AM, Brennen KA, et al. Quality of recovery from two types of general anesthesia for ambulatory dental surgery in children: A double-blind, randomized trial [J]. Paediatr Anaesth, 2009, 19(8):748-755.
[10] Royse CF, Newman S, Chung F, et al. Development and feasibility of a scale to assess postoperative recovery: the post-operative quality recovery scale[J]. Anesthesiology, 2010, 113(4):892-905.
[11] Apfel CC, Heidrich FM, Jukar-Rao S, et al. Evidence-based analysis of risk factors for postoperative nausea and vomiting [J]. Br J Anaesth, 2012, 109(5):742-753.