Results of a major ambulatory oral surgery program using generalinhalational anesthesia on disabled patients

ABSTRACT

Objectives: To assess the demographic characteristics and comorbidities of the group to be studied, as well as variousquality indicators of a Major Ambulatory Surgery (MAS) program. Quantification of the surgical-anestheticincidents. Study design: We aimed to perform a retrospective and descriptive analysis of disabled patients who hadreceived oral ambulatory surgery under general anesthesia. Data obtained from the clinical history and telephoneinterview included the demographic characteristics, socioeconomic status, previous dental history, cause of themental disability, degree of mental retardation, comorbidity measured according to the scale of the AmericanSociety of Anesthesiologists (ASA), anesthesia or preoperative surgical treatments, level of analgesia, length ofstay, incidents in the Resuscitation Ward, the rate of substitution, suspensions, patients admitted, complicationsand the degree of patient satisfaction. Results: We included 112 oral surgery procedures performed on disabledpatients who were treated under general inhalational anesthesia as part of MAS during the years 2006-2007. Duringthis period, 577 restorations, 413 extractions, 179 sealants, 102 pulpectomies, 22 root canal treatments, 17gingivectomies and 3 frenectomies were performed. A total of 75% (78 cases) of the patients had coexisting medicalpathology. The average surgery time per patient was 72.69 ±29.78 minutes. The rate of replacement was 100%.The rate of suspension was 1.92%. The percentage of patients readmitted was 1.92%,due to significant bleedingin the mouth, which did not require treatment and the patients were discharged from hospital 24 hours after beingadmitted. The rate of patients who required re-hospitalization was 3.84%. Conclusions: The MAS performed inthis group, despite being on patients with high comorbidity resulted in only a low number of medical incidentsreported (AU)