Journal of The Korean Dental Society of Anesthesiology (대한치과마취과학회지)

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
권호 표지

Analysis of Complications of Ambulatory General Anesthesia after Discharge in Patients Who are Taking Anticonvulsant

항경련제를 복용하고 있는 지적장애 환자의 외래전신마취 하 치과치료 후 합병증 발생 조사 연구

  • Cha, Min-Joo (Department of Dental Anesthesiology, School of Dentistry, Seoul National University) ;
  • Seo, Kwang-Suk (Department of Dental Anesthesiology, School of Dentistry, Seoul National University) ;
  • Kim, Mi-Seon (Department of Dental Anesthesiology, School of Dentistry, Seoul National University) ;
  • Kim, Hyun-Jeong (Department of Dental Anesthesiology, School of Dentistry, Seoul National University)
  • 차민주 (서울대학교치의학대학원 치과마취과학교실) ;
  • 서광석 (서울대학교치의학대학원 치과마취과학교실) ;
  • 김미선 (서울대학교치의학대학원 치과마취과학교실) ;
  • 김현정 (서울대학교치의학대학원 치과마취과학교실)
  • Received : 2014.06.12
  • Accepted : 2014.07.03
  • Published : 2014.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Background: About 60% of patients with epilepsy showed a variety of complications after returning home. The purpose of this study is to get further information and to help in the anesthetic management of the disable patients with epilepsy. Methods: After searching the outpatient anesthesia list of Seoul National University Dental Hospital clinic of the disabled from September 2010 to March 2012, we found total 83 patient cases who were taking antiepileptic drugs. A nurse of anethesiology department called to the patient's home after general anesthesia and got surveys with questionnaires form filled with complications at home. We enrolled total of 51 patients who agreed to participate this survey. And we also reviewed pre-anesthesia evaluation sheet, anesthesia record, and recovery and discharge record. Results: 11 of 51 (21.6%) patients had seizure convulsion at home within 1 weeks. 33.4% of patients who had at least once seizure attack per week had a seizure attack within 3 days. And 50% of once a month frequency patients had a seizure attack within 1 week. 33% of 1 - 3 seizure attacks per year patient group had a convulsion within 1 week. But there was no seizure attack within 1 week in whom had no seizure attack history during more than 1 year. Conclusions: After dental treatment, patient taking anticonvulsant have so many complications-especially seizure, more than we respected. We need more research about handle these problems.

Keywords

References

  1. Caputo AC: Providing deep sedation and general anesthesia for patients with special needs in the dental office-based setting. Spec Care Dentist 2009; 29(1): 26-30. https://doi.org/10.1111/j.1754-4505.2008.00059.x
  2. Glassman P: A review of guidelines for sedation, anesthesia, and alternative interventions for people with special needs. Spec Care Dentist 2009; 29(1): 9-16. https://doi.org/10.1111/j.1754-4505.2008.00056.x
  3. Kim HJ, et al: Satisfaction of patient with disabilities about outpatient general anesthesia and nursing care for dental treatment. Korean Association for Disability and Oral Health 2006; 2(2): 136-141.
  4. Dougherty N: The dental patient with special needs: a review of indications for treatment under general anesthesia. Spec Care Dentist 2009; 29(1): 17-20. https://doi.org/10.1111/j.1754-4505.2008.00057.x
  5. Awad IT, Chung F: Factors affecting recovery and discharge following ambulatory surgery. Can J Anaesth 2006; 53(9): 858-72. https://doi.org/10.1007/BF03022828
  6. Anastasia PJ, Blevins MC: Outpatient chemotherapy: telephone triage for symptom management. Oncol Nurs Forum 1997; 24(1 Suppl): 13-22.
  7. Gonsowski CT, Laster MJ, Eger EI 2nd, Ferrell LD, Kerschmann RL: Toxicity of compound A in rats. Effect of increasing duration of administration. Anesthesiology 1994; 80(3): 566-73. https://doi.org/10.1097/00000542-199403000-00013
  8. Kim M, et al: Analysis of Telephone Follow-up Data of Out-patient Anesthesia for Dental Treatment of Disability Patients. JKDSA 2012; 12(2): 93-97.
  9. Seo KS, et al: Clinico-statistical Analysis of Cooperation and Anesthetic Induction Method of Dental Patients with Special Needs. JKDSA 2009; 9: 9-16.
  10. Haywood PT, Karalliedde LD: General Anesthesia for Disabled Patients in Dental Practice. Anesth Prog 1999; 45: 134-8.
  11. Pavlin DJ, Chen C, Penaloza DA, Buckley FP: A survey of pain and other symptoms that affect the recovery process after discharge from an ambulatory surgery unit. J Clin Anesth 2004; 16(3): 200-6. https://doi.org/10.1016/j.jclinane.2003.08.004
  12. Perks A, Cheema S, Mohanraj R: Anaesthesia and epilepsy. Br J Anaesth 2012; 108(4): 562-71. https://doi.org/10.1093/bja/aes027
  13. Maranhao MV, Gomes EA, de Carvalho PE: Epilepsy and anesthesia. Rev Bras Anestesiol 2011; 61(2): 232-41, 242-54, 124-36. https://doi.org/10.1016/S0034-7094(11)70028-9
  14. Herrick IA, Gelb AW: Anesthesia for temporal lobe epilepsy surgery. Can J Neurol Sci 2000; 27 Suppl 1: S64-7; discussion S92-6. https://doi.org/10.1017/S0317167100000688
  15. Coplans MP, Curson I: Deaths associated with dentistry. Br Dent J 1982; 153(10): 357-62. https://doi.org/10.1038/sj.bdj.4804947
  16. Suttner SW, Schmidt CC, Boldt J, Huttner I, Kumle B, Piper SN: Low-flow desflurane and sevoflurane anesthesia minimally affect hepatic integrity and function in elderly patients. Anesth Analg 2000; 91(1): 206-12. https://doi.org/10.1213/00000539-200007000-00039
  17. Ramon C, Pelegri D, Turon E, Linares MJ, Burriel J, Fernandez M, et al: [Selection criteria used in 1,310 patients in ambulatory major surgery]. Rev Esp Anestesiol Reanim 1993; 40(4): 234-7.