Abstract
Background
The aim of this study was to analyze outpatient anesthesia for dental treatment in handicapped patients with behavior disorder in order to use data for carrying out better and safe anesthetic management.
Methods
The data were drawn from the 100 patients with behavior disorder who visited CNUDH dental clinic for disabled based on anesthesia record to investigate patient's systemic condition, cooperative level, anesthesia method according to patients cooperation, and side effects after recovery time.
Results
Mental retardation (58%) is the most reason to choose general anesthesia. The methods of induction according to cooperative level are intravenous propofol injection in 22 cases and inhalation of sevoflurane in 78 cases. Induction time of anesthesia were within 10 seconds in cases of propofol induction and average 48.8 ± 18.5 seconds in cases of inhalation induction. The time spent on dental treatment was average 3.2 ± 1.1 hours. After the end of treatment, average time to move from unit chair to recovery bed, to recliner, and to discharge from hospital are 10.4 ± 5.1, 36.9 ± 17.1 and 72.4 ± 16.0 minutes, respectively. During recovery, there are nausea with 9%, vomiting with 4%, dizziness with 2%, finger injury with 1%.