Pediatric anesthesia in the nonoperating room setting

Cravero, Joseph P.; Blike, George T.

doi:10.1097/01.aco.0000236147.83364.99

Cited by 21 publications

(10 citation statements)

References 11 publications

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“… 17 , 18 , 21 These findings have led to increased scrutiny of pediatric dental sedation by the public and the medical community. 20 , 22 One concern is that dentists and other non-anesthesiologist practitioners receive varying levels of sedation training and often do not practice in settings with immediate access to rescue resources such as a code team. In contrast, anesthesiologists receive relatively uniform training and practice the skills required to rescue patients on a daily basis.…”

Section: Risk Factors For Adverse Eventsmentioning

confidence: 99%

Pediatric dental sedation: challenges and opportunities

Nelson¹,

Xu²

2015

CCIDE

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High levels of dental caries, challenging child behavior, and parent expectations support a need for sedation in pediatric dentistry. This paper reviews modern developments in pediatric sedation with a focus on implementing techniques to enhance success and patient safety. In recent years, sedation for dental procedures has been implicated in a disproportionate number of cases that resulted in death or permanent neurologic damage. The youngest children and those with more complicated medical backgrounds appear to be at greatest risk. To reduce complications, practitioners and regulatory bodies have supported a renewed focus on health care quality and safety. Implementation of high fidelity simulation training and improvements in patient monitoring, including end-tidal carbon dioxide, are becoming recognized as a new standard for sedated patients in dental offices and health care facilities. Safe and appropriate case selection and appropriate dosing for overweight children is also paramount. Oral sedation has been the mainstay of pediatric dental sedation; however, today practitioners are administering modern drugs in new ways with high levels of success. Employing contemporary transmucosal administration devices increases patient acceptance and sedation predictability. While recently there have been many positive developments in sedation technology, it is now thought that medications used in sedation and anesthesia may have adverse effects on the developing brain. The evidence for this is not definitive, but we suggest that practitioners recognize this developing area and counsel patients accordingly. Finally, there is a clear trend of increased use of ambulatory anesthesia services for pediatric dentistry. Today, parents and practitioners have become accustomed to children receiving general anesthesia in the outpatient setting. As a result of these changes, it is possible that dental providers will abandon the practice of personally administering large amounts of sedation to patients, and focus instead on careful case selection for lighter in-office sedation techniques.

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Section: Risk Factors For Adverse Eventsmentioning

confidence: 99%

Pediatric dental sedation: challenges and opportunities

Nelson¹,

Xu²

2015

CCIDE

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“…The most widely disseminated were published by the American Academy of Pediatrics, 3,4 the American Society of Anesthesiologists, 5 and the American College of Emergency Physicians. 6 Recent studies 9,10 suggest that pediatric procedural sedations performed outside of the OR are unlikely to yield serious adverse outcomes, but emphasize that further research on the safety of this practice should continue to be explored. An important resource on pediatric sedations is a large Web-based database created by the Pediatric Sedation Research Consortium.…”

Section: Resultsmentioning

confidence: 99%

Enhancing Patient Safety During Pediatric Sedation

Shavit¹,

Keidan²,

Hoffmann³

et al. 2007

Arch Pediatr Adolesc Med

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“…Ancak özellikle 3 yaş altı çocuklar, hareketsiz kalıp uygulamalara izin vermedikleri için bu hastalarda yapılacak olan muayene ve cerrahi işlemde ADA uygulamaları oldukça yaygın olarak kullanılmaktadır (3). Pediyatrik hastalarda uygulanacak olan ADA prosedürleri, sedasyon ya da anestezi seçeneklerinin değerlendirildiği çalışmalar kısıtlı sayıdadır (4). Ancak pediyatrik hastalarda ideal bir sedasyon, anksiyeteyi ve korkuyu azaltmalı, cerrahi uygulamayı yapabilmek için gerekli hareketsizliği sağlamalı, farkındalığı azaltarak amneziyi artırmalı ve en önemlisi çocuğun güvenliğini sağlamalıdır (5).…”

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Our anesthesia experiences outside the operating room in pediatric patients: A retrospective study

Soyalp¹,

Yüzkat²

2019

Van Med J

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Pediatric anesthesia in the nonoperating room setting

Cited by 21 publications

References 11 publications

Pediatric dental sedation: challenges and opportunities

Pediatric dental sedation: challenges and opportunities

Enhancing Patient Safety During Pediatric Sedation

Our anesthesia experiences outside the operating room in pediatric patients: A retrospective study

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