تفاصيل الوثيقة
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نوع الوثيقة |
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رسالة جامعية |
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عنوان الوثيقة |
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دراسة استبيانة لعمليات علاج اسنان الاطفال بالتخدير العام في ثلاث مستشفيات حكومية بمينة جدة بالمملكة العربية السعودية Exploratory Study of Different Aspects Related to General Anesthesia Procedure Provided for Pediatric Dental Patients in Jeddah, Saudi Arabia |
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لغة الوثيقة |
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الانجليزية |
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المستخلص |
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The growing use of general anesthesia (GA) in dentistry since the late 1990s has been recorded all
over the world. Safety of the children who need dental treatment under GA remains the major
limiting factor for GA use. Review of post-operative morbidity reports for pediatric dental care
under GA showed great variations from negligible to more than 90% of patients having postoperative
complaints. Until now, no morbidity data has been available to estimate the safety of
pediatric patients under GA for dental rehabilitation in Saudi Arabia (SA). The purposes of this
study were to (1) determine the characteristics of patients, dental treatment and hospital protocols
followed for pediatric treatment under GA at multi-dental centers in Jeddah, SA, (2) investigate
post-operative complications associated with dental care under GA over three days post-operatively
and (3) correlate morbidity reports with some children characteristics and hospital protocol.
Study sample included 90 children attending GA for dental treatment at major hospitals in Jeddah,
specifically, King Fahad Hospital (KFH), King Abdulaziz University Hospital (KAUH), and
National Guard Hospital (NGH). Data were collected from every patient twice, intra-operatively at
the operating room using a pre-designed form, and post-operatively via phone calls in the first and
third days after operation.
Results showed that the main indication for pediatric dental general anesthesia (PDGA) procedure
was younger age with an extensive caries. Hospitals were significantly different in patient's
protocols for PDGA procedures (such as: admission and premedication). Although the anesthetic
medications used in the hospitals were different, 80% of the children did not experience any intraoperative
complications and the rest were managed safely and discharged mostly within the same
day.
The mean number of treated teeth per child was 14±3.8 and it was not affected by age, gender, or
medical status of the children. Dental treatment under GA mostly included restorations and
extractions, and it was significantly affected by the child's age. The three dental centers were
significantly different in the types of applied dental procedures. Ninety- nine percent (99%) of the
children had one or more complaints in the first day in contrast to only 33.3% in the third day.
Inability to eat (85.5%), sleepiness (71%), and pain (68%) were the most common complaints in the
first day, followed by drowsiness (39%), sore throat (34%), vomiting (25.5%), psychological
changes (24%), fever (21%), respiratory problems (12%), and nausea (9%). A great significant
complaints reduction was reported by the third post-operative day, in which the most reported
complaints were pain (14%), inability to eat (12%), and sore throat (8%). Age and gender of the
patients were the factors that showed a significant relationship with post-operative complaints.
In conclusion, dental treatment under GA was indicated mostly for younger children with extensive
dental caries. Anesthetic management in our hospitals allows the PDGA procedure to be carried out
safely. Post-operative morbidity for PDGA was common, but mostly of mild severity and limited to
the first day. |
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المشرف |
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Abdullah Almushayt |
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نوع الرسالة |
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رسالة ماجستير |
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سنة النشر |
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1428 هـ
2007 م |
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تاريخ الاضافة على الموقع |
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Monday, February 15, 2010 |
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الباحثون
| رانية باكده | Ba-Akdah, Raniah | باحث | ماجستير | |
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الرجوع إلى صفحة الأبحاث
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