Stomatologiia · 2025
[Features of general anesthesia during dental interventions in children with dystrophic epidermolysis bullosa].
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Tishchenko A S, Dobrodeev A S
Аннотация
OBJECTIVE: To summarize and present the experience of general anesthesia with nasotracheal intubation for children suffering from dystrophic epidermolysis bullosa (DBE) during dental interventions on an outpatient basis.
MATERIALS AND METHODS: In 2023, 18 children with DBE received dental treatment under general anesthesia, two patients underwent general anesthesia twice a month with a break due to the large volume of intervention.
RESULTS: The paper highlights the main features of preoperative examination of this category of patients, preparation for monitoring, induction of anesthesia, and ensuring patency of the upper respiratory tract. The practical recommendations and techniques mentioned in the article allow the anesthesiologist to minimize the risks of damage to the skin and mucous membrane of the mouth and pharynx. The duration of anesthesia ranged from 50 to 225 minutes, the average duration of anesthesia was 135 minutes. The observation time in the wake-up ward ranged from 105 to 360 minutes, the average time of postoperative observation was 177 minutes. There were no perioperative hemodynamic and respiratory disorders.
CONCLUSION: With proper preparation of the anesthesiological team, strict observance of the rules for working with children suffering from DBE, general combined anesthesia with nasotracheal intubation ensure a high safety profile for these patients and create comfortable conditions for high-quality dental work.
MATERIALS AND METHODS: In 2023, 18 children with DBE received dental treatment under general anesthesia, two patients underwent general anesthesia twice a month with a break due to the large volume of intervention.
RESULTS: The paper highlights the main features of preoperative examination of this category of patients, preparation for monitoring, induction of anesthesia, and ensuring patency of the upper respiratory tract. The practical recommendations and techniques mentioned in the article allow the anesthesiologist to minimize the risks of damage to the skin and mucous membrane of the mouth and pharynx. The duration of anesthesia ranged from 50 to 225 minutes, the average duration of anesthesia was 135 minutes. The observation time in the wake-up ward ranged from 105 to 360 minutes, the average time of postoperative observation was 177 minutes. There were no perioperative hemodynamic and respiratory disorders.
CONCLUSION: With proper preparation of the anesthesiological team, strict observance of the rules for working with children suffering from DBE, general combined anesthesia with nasotracheal intubation ensure a high safety profile for these patients and create comfortable conditions for high-quality dental work.