[Specific features of general anesthesia in stomatology for disabled people].

INTRODUCTION

People who have either developed or acquired disability are the patients with special needs. They often require general anesthesia for stomatological interventions. These patients often develop a complex disorder which interferes with a successful collaboration. General anesthesia should be adapted to the kind and length of intervention, to the physical condition of the patient and to the fact that majority of these interventions are performed under the "one day surgery" circumstances. The patient's preoperative preparation is of great importance. The anesthetics initially used and those to maintain anesthesia must be short-lived with minimal side-effects. The "gold standard" for the airway protection is the application of nasally placed endotracheal tubes, but the airway can also be protected by orally placed endotracheal tubes as well as by armored version of laryngeal mask airway during minor interventions. In the postoperative period patients are given analgetics and other necessary symptomatic therapy. The patient can be released no sooner than/four hours after the end of the operation.

CONCLUSION

An appropriate preoperative preparation and the selection of the adequate kind of general anesthesia result in a reduced number of complications in this particular group of patients.