THE HEMODYNAMIC EFFECTS OF CHILDREN RECEIVING GENERAL ANESTHESIA FOR DENTAL TREATMENTS

The indications for dental treatment under general anesthesia are known as extensive decay, behavioral management problems, medically compromised and handicapped children. The purpose of this study was to evaluate the physical and the physiological effects of general anesthesia used for dental treatments. Thirty children, age range from 3 to 12 years had received dental treatments under general ansthesia at Yeditepe University, Faculty of Dentistry, Department of Pedodontics. The children were divided into two groups, who received midazolam sedation prior to general anesthesia and who did not receive any type of sedation. All the procedures were done by the same anesthesiologist with a monitored general anesthesia unit and a recovery room was also present. The heartbeat and pulse, systolic-diastolic blood pressures, ST changes, oxygen saturation degree, CO2 expirium and fever degree records were evaluated during the iv injection, before, during and after nasal intubation, extubation and going to the recovery room. The results were compared within each other and also the hemodynamic records were calculated for all children, so that the general health conditions of the children were evaluated. The statistical analysis was performed with a GraphPad Prisma V.3 program. The records were found to be normal and no significant differences were found between the groups who received sedation and who did not receive sedation (p 0,05). It is concluded that it is essential to establish a treatment protocol for children who require dental treatments under general anesthesia, in order to prevent any complications during the procedures.