Naslov
Structure of patients and outcome of the triage process for the dental treatment in general anesthesia
(Structure of patients and outcome of the triage process for the dental treatment in general anesthesia)

Autori
Brailo, Vlaho ; Janković, Bernard ; Gabrić, Dragana ; Vidović Juras, Danica ; Karlović, Zoran ; Brzović Rajić, Valentina ; Lozić, Marin ; Verzak, Željko

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Hrvatski kongres jednodnevne kirurgije Sažetci predavanja II. kongresa s međunarodnim sudjelovanjem u organizaciji Hrvatskog društva za jednodnevnu kirurgiju HLZ-a u suorganizaciji Hrvatskog društva za hospitalnu stomatologiju/stomatologiju posebne skrbi HLZ-a i Referentnog centra za preventivnu dentalnu medicinu u Republici Hrvatskoj. U: Acta Stomatologica Croatica 2022 ; 56(4) / Brzović Rajić, Valentina ; Vuletić, Marko - Zagreb : Stomatolški fakultet Sveučilišta u Zagrebu, 2022, 417-417

Skup
2. kongres jednodnevne kirurgije s međunarodnim sudjelovanjem

Mjesto i datum
Zagreb, Hrvatska, 14.10.2022

Vrsta sudjelovanja
Pozvano predavanje

Vrsta recenzije
Domaća recenzija

Ključne riječi
uncooperativeness ; special category of patients ; nasotracheal intubation ; monitor of depth of anesthesia ; total intravenous anesthesia ; propofol ; remifentanil

Sažetak
Dental procedures under general anesthesia are most often performed in cases where people are uncooperative. Uncooperativeness is most often caused by psychological defects (eg. mental retardation, disorders from the autism spectrum, etc.), but it can also be caused by psychological immaturity (children under 6 years old) or a combination of physical and psychological defects. A special category of patients are those scheduled for more extensive oral surgical procedures where it is required that the patient be calm for a long time during the surgical procedure. Our protocol involves the use of nasotracheal intubation with pharyngeal tamponade, a monitor for monitoring the depth of anesthesia and total intravenous drug delivery with the help of specialized pumps for the delivery of propofol and remifentanil drugs. Each patient is evaluated preoperatively for the use of premedication drugs, which are most often administered via oral syrup or intranasal spray. Sometimes short-term inhalation anesthesia with sevoflurane is used to establish a venous route. By using this technique, the process of performing dental procedures was significantly accelerated (increased comfort of the operator and visibility of the operating field), possible complications from accidental dislocation of the endotracheal tube were reduced, postoperatively reduced the possibility of emergence delirium and accelerated the process of patient discharge after surgery

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti, Dentalna medicina

POVEZANOST RADA