Quality of recovery from two types of general anesthesia for ambulatory dental surgery in children: a double‐blind, randomized trial

König, Mathias; Varughese, Anna M.; Brennen, Kathleen A.; Barclay, Sean; Shackleford, T. Michael; Samuels, Paul; Gorman, Kristin; Ellis, Jillian L.; Wang, Yu; Nick, Todd G.

doi:10.1111/j.1460-9592.2009.03054.x

Cited by 54 publications

(66 citation statements)

References 35 publications

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“…However, induction of general anaesthesia itself may bear potential complications [16]. Based on literature, post-interventional morbidity such as PONV and pain is commonly seen after general anaesthesia with a published PONV incidence of up to 30% [16,17]. In our study population, anaesthetic adverse events were noted during the recovery period with PONV being the predominant symptom as well as limiting factor for hospital discharge in one patient.…”

Section: Discussionmentioning

confidence: 81%

Safety and efficacy of paediatric outpatient radiofrequency catheter ablations

Tomaske

Candinas

Weiß

et al. 2011

International Journal of Cardiology

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Section: Discussionmentioning

confidence: 81%

Safety and efficacy of paediatric outpatient radiofrequency catheter ablations

Tomaske

Candinas

Weiß

et al. 2011

International Journal of Cardiology

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“…[1][2][3] Because controlling the recovery state is important in managing ambulatory general anesthesia, we perform total intravenous anesthesia consisting mainly of propofol and remifentanil, which allows a quick and comfortable recovery. [4][5][6][7] Midazolam, a short-acting benzodiazepine injection, was shown to be a clear determinant of delayed recovery from general anesthesia in our previous study, 8 so we ceased using midazolam injection in ambulatory general anesthesia in our facility.…”

mentioning

confidence: 99%

Independent Predictors of Delay in Emergence From General Anesthesia

Miyagawa¹,

Higuchi²,

Ishii-Maruhama³

et al. 2015

Anesthesia Progress

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Some patients with intellectual disabilities spend longer than others in emergence from ambulatory general anesthesia for dental treatment. Although antiepileptic drugs and anesthetics might be involved, an independent predictor for delay of the emergence remains unclear. Thus, a purpose of this study is to identify independent factors affecting the delay of emergence from general anesthesia. This was a retrospective cohort study in dental patients with intellectual disabilities. Patients in need of sedative premedication were removed from participants. The outcome was time until emergence from general anesthesia. Stepwise multivariate regression analysis was used to extract independent factors affecting the outcome. Antiepileptic drugs and anesthetic parameters were included as predictor variables. The study included 102 cases. Clobazam, clonazepam, and phenobarbital were shown to be independent determinants of emergence time. Parameters relating to anesthetics, patients' backgrounds, and dental treatment were not independent factors. Delay in emergence time in ambulatory general anesthesia is likely to be related to the antiepileptic drugs of benzodiazepine or barbiturates in patients with intellectual disability.

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“…A single dose of propofol at the end of inhaled anesthesia has also been associated with a decrease in agitation behaviors in the postoperative time frame [ 37 ]. On the other hand, a recent report from Konig et al evaluating the quality of emergence from anesthesia specifi cally in dental GA cases resulted in a slightly different outcome [ 38 ]. In this prospective, randomized, blinded trial of 179 patients, the incidence of emergence delirium was not different between the different types of anesthesia.…”

Section: General Anesthesia Techniques For Dentistrymentioning

confidence: 92%