Çocuk Hasta Grubunda Diş Tedavileri Sırasında Uygulanan Sedasyon İşlemlerinin Retrospektif İncelenmesi

  • Gülay Kip
  • Didem Atabek
  • Metin Alkan
  • Alev Alaçam

Abstract

Amaç: Merkezimizde çocuk hastalarda diş tedavisi için uygulanan derin sedasyon işlemlerini retrospektif olarak inceleyerek ortaya çıkan yan etkileri tespit etmek ve sedasyon güvenliğini değerlendirmeyi amaçladık. Gereç ve Yöntem: 2013-2017 yılları arasında diş tedavisi için sedasyon uygulanan 2970 hastanın verileri retrospektif olarak incelenmiş, uygulanan sedasyon tekniği, süresi, ortaya çıkan yan etkiler kaydedilmiştir. Bulgular: Hastaların yaş ortalaması 5.61 yıl iken, bu hastaların 2840’ına sevofluran anestezisi, 130 hastaya ise ketofol anestezisi uygulanmıştır. Ortalama anestezi süresi 37.89 dakika olarak belirlenmiştir. Hastaların %94.8’ inde herhangi bir yan etki oluşmazken, 112 hastada (%3.8) taşikardi, 12 hastada (%0.4) herhangi bir invaziv girişim gerektirmeyen solunum depresyonu, 10 hastada (% 0.3) bradikardi, 11 hastada (% 0.4) ise postoperatif dönemde kusma, 10 hastada ise (% 0.3) postoperatif dönemde medikal tedavi gerektirmeyen kısa süreli ajitasyon gelişmiştir. Sonuç: Çocuk yaş grubunda sevofluran veya ketofol ile uygulanan derin sedasyon işlemi majör bir komplikasyona neden olmadan, güvenli ve yeterli anestezi derinliği sağlayarak, diş tedavilerinin yapılabilmesine olanak sağlamaktadır.

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Published
2019-03-25
Section
Original Research