Retrospective cohort analysis of pediatric daycare anesthesia in dentistry: An assessment of postoperative complications

Complications in pediatric daycare anesthesia in dentistry

Authors

Keywords:

ambulatory surgical procedures, day surgery, pediatric dentistry

Abstract

Background/Aim: In pediatric populations, the frequent challenges of patient cooperation often necessitate treatments to be performed under general anesthesia. Since these procedures do not fall under the category of major surgery, daycare anesthesia has become a prevalent approach in this field. The advantages of daycare anesthesia, such as reduced hospital stay durations and costs, make it a preferred method. It is well-recognized that daycare anesthesia, when applied across various surgical fields, has unique postoperative complications, which can sometimes be linked to the surgical procedure itself. Dental treatments represent a specific surgical domain, and elucidating potential postoperative complications in this area draws attention to preventive measures and is vital for enhancing postoperative patient comfort. The primary objective of this study was to evaluate and identify the most prevalent postoperative symptoms and complications associated with pediatric dentistry.

Methods: This retrospective cohort study was conducted at the Erciyes University Faculty of Dentistry between January 15 and April 15, 2019. We analyzed records of 245 pediatric patients aged 3 to 13 who underwent day-case dental procedures. The inclusion criteria encompassed all patients who underwent dental procedures under general anesthesia and were classified as ASA 1-2. Variables such as demographic data, procedure duration, comorbidities, and postoperative complications were extracted and analyzed for the current study.

Results: Out of the 245 pediatric patients, the median age was 6.0 years, ranging from 3.0 to 13.0 years. Females comprised 52.7% of the cohort. Most patients (62.9%) were classified under ASA class one. 27.8% of the patients reported postoperative complications such as sore throat, hoarseness, cough, or nausea/vomiting. The most prevalent postoperative complications were hoarseness (11.4%) and sore throat (9.8%). Demographic and clinical characteristics of patients with and without postoperative complications were compared. Gender significantly influences the occurrence of postoperative complications. Males had a rate of 11.0% (27 out of 245), while females had a rate of 16.7% (41 out of 245), with females experiencing complications at a higher rate than males (P=0.01). Age also played a role in complications: the mean age for patients with complications was 6.0 years, compared to 5.0 years for those without complications (P=0.02).

Conclusion: Pediatric daycare anesthesia, especially for dental procedures, has proven effective and safe. However, each child presents a unique set of challenges, and it’s crucial to recognize and mitigate potential risks. By understanding common postoperative symptoms and tailoring anesthesia techniques accordingly, healthcare professionals can optimize outcomes and enhance the quality of pediatric patient care.

Downloads

Download data is not yet available.

References

Kache SA, Sale D, Ajah JL, Makama JG. Paediatric day-case surgery in a new paediatric surgical unit in Northwestern Nigeria. Afr J Paediatr Surg. 2018;15(2):97-9. doi: 10.4103/ajps.AJPS_50_17. DOI: https://doi.org/10.4103/ajps.AJPS_50_17

Letts M, Davidson D, Splinter W, Conway P. Analysis of the efficacy of pediatric day surgery. Can J Surg. 2001;44(3):193-8. PMID: 11407829.

Healy K. A descriptive survey of the information needs of parents of children admitted for same day surgery. J Pediatr Nurs. 2013;28(2):179-85. doi: 10.1016/j.pedn.2012.07.010. DOI: https://doi.org/10.1016/j.pedn.2012.07.010

Postuma R, Ferguson CC, Stanwick RS, Horne JM. Pediatric day-care surgery: a 30-year hospital experience. J Pediatr Surg. 1987;22(4):304-7. doi: 10.1016/s0022-3468(87)80229-4. DOI: https://doi.org/10.1016/S0022-3468(87)80229-4

Lerman J. Pediatric ambulatory anesthesia: an update. Curr Opin Anaesthesiol. 2019;32(6):708-13. doi: 10.1097/ACO.0000000000000787. DOI: https://doi.org/10.1097/ACO.0000000000000787

Bartier S, Gharzouli I, Kiblut N, Bendimered H, Cloutier L, Salvan D. Tonsillectomy in children and in adults: changes in practice following the opening of a day-surgery unit with dedicated operating room. Eur Ann Otorhinolaryngol Head Neck Dis. 2018;135(5):301-5. doi: 10.1016/j.anorl.2018.05.003. DOI: https://doi.org/10.1016/j.anorl.2018.05.003

Chao Z, Gui Jin H, Cong Y. The effect of general anesthesia for ambulatory dental treatment on children in Chongqing, Southwest China. Paediatr Anaesth. 2017;27(1):98-105. doi: 10.1111/pan.12983. DOI: https://doi.org/10.1111/pan.12983

Tan AK, Rothstein J, Tewfik TL. Ambulatory tonsillectomy and adenoidectomy: complications and associated factors. J Otolaryngol. 1993;22(6):442-6. PMID: 8158742.

Kain ZN, Mayes LC, Weisman SJ, Hofstadter MB. Social adaptability, cognitive abilities, and other predictors for children's reactions to surgery. J Clin Anesth. 2000 Nov;12(7):549-54. doi: 10.1016/s0952-8180(00)00214-2. PMID: 11137417. DOI: https://doi.org/10.1016/S0952-8180(00)00214-2

Brailo V, Janković B, Gabrić D, Lozić M, Stambolija V, Vidović Juras D, Verzak Ž. Post-Discharge Complications of Dental Treatment in General Anesthesia Performed in a Day-Care Service. Acta Stomatol Croat. 2021;55(2):168-76. doi: 10.15644/asc55/2/6. DOI: https://doi.org/10.15644/asc55/2/6

Wright KD, Stewart SH, Finley GA, Buffett-Jerrott SE. Prevention and intervention strategies to alleviate preoperative anxiety in children: a critical review. Behav Modif. 2007;31(1):52-79. doi: 10.1177/0145445506295055. DOI: https://doi.org/10.1177/0145445506295055

Kain ZN, Mayes LC, O'Connor TZ, Cicchetti DV. Preoperative anxiety in children. Predictors and outcomes. Arch Pediatr Adolesc Med. 1996;150(12):1238-45. doi: 10.1001/archpedi.1996.02170370016002. DOI: https://doi.org/10.1001/archpedi.1996.02170370016002

Downloads

Published

2023-08-23

Issue

Section

Research Article

How to Cite

1.
Orbay Yaşlı S, Günay Canpolat D, Baydan E. Retrospective cohort analysis of pediatric daycare anesthesia in dentistry: An assessment of postoperative complications: Complications in pediatric daycare anesthesia in dentistry. J Surg Med [Internet]. 2023 Aug. 23 [cited 2024 May 26];7(8):477-80. Available from: https://jsurgmed.com/article/view/7898