Office-based anesthesia

Safety and outcomes in pediatric dental patients

Allison L. Spera, Mark A. Saxen, Juan Yepes, James Jones, Brian Sanders

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The number of children with caries requiring general anesthesia to achieve comprehensive dental care and the demand for dentist anesthesiologists to provide ambulatory anesthesia for these patients is increasing. No current published studies examine the safety and outcomes of ambulatory anesthesia performed by dentist anesthesiologists for dental procedures in pediatric patients, and there is no national requirement for reporting outcomes of these procedures. In 2010, the Society for Ambulatory Anesthesia Clinical Outcomes Registry was developed. This Web-based database allows providers of ambulatory anesthesia to track patient demographics and various outcomes of procedures. Our study is a secondary analysis of data collected in the registry over a 4-year period, 2010-2014. Of the 7041 cases reviewed, no cases resulted in serious complications, including death, anaphylaxis, aspiration, cardiovascular adverse events, or neurologic adverse events. Of the 7041 cases reviewed, 196 (3.0%) resulted in a predischarge or postdischarge adverse event. The predischarge adverse event occurring with the highest frequency was laryngospasm, occurring in 35 cases (0.50%). The postdischarge adverse event occurring with the highest frequency was nausea, reported by 99 patients (5.0%). This study provides strong clinical outcomes data to support the safety of office-based anesthesia as performed by dentist anesthesiologists in the treatment of pediatric dental patients.

Original languageEnglish (US)
Pages (from-to)144-152
Number of pages9
JournalAnesthesia Progress
Volume64
Issue number3
DOIs
StatePublished - Sep 1 2017

Fingerprint

Tooth
Anesthesia
Pediatrics
Safety
Dentists
Registries
Comprehensive Dental Care
Laryngismus
Anaphylaxis
General Anesthesia
Nausea
Nervous System
Demography
Databases
Anesthesiologists
Therapeutics

Keywords

  • Dentist anesthesiologist
  • General anesthesia
  • Oba
  • Office-based anesthesia
  • Outcomes
  • Pediatric dental rehabilitation
  • Samba clinical outcomes registry
  • Scor

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Office-based anesthesia : Safety and outcomes in pediatric dental patients. / Spera, Allison L.; Saxen, Mark A.; Yepes, Juan; Jones, James; Sanders, Brian.

In: Anesthesia Progress, Vol. 64, No. 3, 01.09.2017, p. 144-152.

Research output: Contribution to journalArticle

@article{5a49dfbff2c34ff79bfca7f14a4f9a42,
title = "Office-based anesthesia: Safety and outcomes in pediatric dental patients",
abstract = "The number of children with caries requiring general anesthesia to achieve comprehensive dental care and the demand for dentist anesthesiologists to provide ambulatory anesthesia for these patients is increasing. No current published studies examine the safety and outcomes of ambulatory anesthesia performed by dentist anesthesiologists for dental procedures in pediatric patients, and there is no national requirement for reporting outcomes of these procedures. In 2010, the Society for Ambulatory Anesthesia Clinical Outcomes Registry was developed. This Web-based database allows providers of ambulatory anesthesia to track patient demographics and various outcomes of procedures. Our study is a secondary analysis of data collected in the registry over a 4-year period, 2010-2014. Of the 7041 cases reviewed, no cases resulted in serious complications, including death, anaphylaxis, aspiration, cardiovascular adverse events, or neurologic adverse events. Of the 7041 cases reviewed, 196 (3.0{\%}) resulted in a predischarge or postdischarge adverse event. The predischarge adverse event occurring with the highest frequency was laryngospasm, occurring in 35 cases (0.50{\%}). The postdischarge adverse event occurring with the highest frequency was nausea, reported by 99 patients (5.0{\%}). This study provides strong clinical outcomes data to support the safety of office-based anesthesia as performed by dentist anesthesiologists in the treatment of pediatric dental patients.",
keywords = "Dentist anesthesiologist, General anesthesia, Oba, Office-based anesthesia, Outcomes, Pediatric dental rehabilitation, Samba clinical outcomes registry, Scor",
author = "Spera, {Allison L.} and Saxen, {Mark A.} and Juan Yepes and James Jones and Brian Sanders",
year = "2017",
month = "9",
day = "1",
doi = "10.2344/anpr-64-04-05",
language = "English (US)",
volume = "64",
pages = "144--152",
journal = "Anesthesia Progress",
issn = "0003-3006",
publisher = "Allen Press Inc.",
number = "3",

}

TY - JOUR

T1 - Office-based anesthesia

T2 - Safety and outcomes in pediatric dental patients

AU - Spera, Allison L.

AU - Saxen, Mark A.

AU - Yepes, Juan

AU - Jones, James

AU - Sanders, Brian

PY - 2017/9/1

Y1 - 2017/9/1

N2 - The number of children with caries requiring general anesthesia to achieve comprehensive dental care and the demand for dentist anesthesiologists to provide ambulatory anesthesia for these patients is increasing. No current published studies examine the safety and outcomes of ambulatory anesthesia performed by dentist anesthesiologists for dental procedures in pediatric patients, and there is no national requirement for reporting outcomes of these procedures. In 2010, the Society for Ambulatory Anesthesia Clinical Outcomes Registry was developed. This Web-based database allows providers of ambulatory anesthesia to track patient demographics and various outcomes of procedures. Our study is a secondary analysis of data collected in the registry over a 4-year period, 2010-2014. Of the 7041 cases reviewed, no cases resulted in serious complications, including death, anaphylaxis, aspiration, cardiovascular adverse events, or neurologic adverse events. Of the 7041 cases reviewed, 196 (3.0%) resulted in a predischarge or postdischarge adverse event. The predischarge adverse event occurring with the highest frequency was laryngospasm, occurring in 35 cases (0.50%). The postdischarge adverse event occurring with the highest frequency was nausea, reported by 99 patients (5.0%). This study provides strong clinical outcomes data to support the safety of office-based anesthesia as performed by dentist anesthesiologists in the treatment of pediatric dental patients.

AB - The number of children with caries requiring general anesthesia to achieve comprehensive dental care and the demand for dentist anesthesiologists to provide ambulatory anesthesia for these patients is increasing. No current published studies examine the safety and outcomes of ambulatory anesthesia performed by dentist anesthesiologists for dental procedures in pediatric patients, and there is no national requirement for reporting outcomes of these procedures. In 2010, the Society for Ambulatory Anesthesia Clinical Outcomes Registry was developed. This Web-based database allows providers of ambulatory anesthesia to track patient demographics and various outcomes of procedures. Our study is a secondary analysis of data collected in the registry over a 4-year period, 2010-2014. Of the 7041 cases reviewed, no cases resulted in serious complications, including death, anaphylaxis, aspiration, cardiovascular adverse events, or neurologic adverse events. Of the 7041 cases reviewed, 196 (3.0%) resulted in a predischarge or postdischarge adverse event. The predischarge adverse event occurring with the highest frequency was laryngospasm, occurring in 35 cases (0.50%). The postdischarge adverse event occurring with the highest frequency was nausea, reported by 99 patients (5.0%). This study provides strong clinical outcomes data to support the safety of office-based anesthesia as performed by dentist anesthesiologists in the treatment of pediatric dental patients.

KW - Dentist anesthesiologist

KW - General anesthesia

KW - Oba

KW - Office-based anesthesia

KW - Outcomes

KW - Pediatric dental rehabilitation

KW - Samba clinical outcomes registry

KW - Scor

UR - http://www.scopus.com/inward/record.url?scp=85028745227&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85028745227&partnerID=8YFLogxK

U2 - 10.2344/anpr-64-04-05

DO - 10.2344/anpr-64-04-05

M3 - Article

VL - 64

SP - 144

EP - 152

JO - Anesthesia Progress

JF - Anesthesia Progress

SN - 0003-3006

IS - 3

ER -