Articles producció científica> Medicina i Cirurgia

Hemodynamic and ventilatory changes in pediatric patients with special needs: A comparative clinical study

  • Datos identificativos

    Identificador: imarina:9286979
    Autores:
    Pérez-García SRuiz-Roca JAAñez CLópez-Jornet PGargallo-Albiol J
    Resumen:
    Background: Very limited data are available on the hemodynamic and ventilatory changes during sedation and general anesthesia using bispectral index (BIS) monitoring in intellectually disabled children. The purpose was to determine the hemodynamic and ventilatory changes after propofol and sevoflurane administration in children with special needs (CSN) versus healthy children (HC) during dental treatment. Material and Methods: Forty pediatric patients needing dental treatment were allocated into two groups: children without systemic disease (healthy children [HC]) and mentally disabled children (children with special needs [CSN]). Sevoflurane in oxygen (100% oxygen, 5 l/min) and continuous propofol infusion (target-controlled infusion [TCI], 2 μg/ml) were used as sedative agents, and 2% lidocaine with 1:80,000 adrenaline was used as local anesthesia in both groups. Heart rate (HR), oxygen saturation (SaO2), respiratory rate (RR), exhaled carbon dioxide (CO2), blood pressure (BP) and bispectral monitoring (BIS) values were recorded during the entire dental treatment procedure. Results: A statistically significant decrease in systolic BP, diastolic BP and RR was observed, with no significant differences between the healthy and disabled groups. In contrast, the HR and BIS values were lower in the CSN group than in the healthy patients (p ≤ 0.05). Conclusions: Patients with special needs had lower HR and BIS values than healthy patients, while BP, SaO2 and exhaled CO2 showed similar results in both groups
  • Otros:

    Autor según el artículo: Pérez-García S; Ruiz-Roca JA; Añez C; López-Jornet P; Gargallo-Albiol J
    Departamento: Medicina i Cirurgia
    Autor/es de la URV: Añez Simon, Cristobal
    Palabras clave: Ventilatory changes Special needs Pediatric patients Hemodynamic changes Bispectral index
    Resumen: Background: Very limited data are available on the hemodynamic and ventilatory changes during sedation and general anesthesia using bispectral index (BIS) monitoring in intellectually disabled children. The purpose was to determine the hemodynamic and ventilatory changes after propofol and sevoflurane administration in children with special needs (CSN) versus healthy children (HC) during dental treatment. Material and Methods: Forty pediatric patients needing dental treatment were allocated into two groups: children without systemic disease (healthy children [HC]) and mentally disabled children (children with special needs [CSN]). Sevoflurane in oxygen (100% oxygen, 5 l/min) and continuous propofol infusion (target-controlled infusion [TCI], 2 μg/ml) were used as sedative agents, and 2% lidocaine with 1:80,000 adrenaline was used as local anesthesia in both groups. Heart rate (HR), oxygen saturation (SaO2), respiratory rate (RR), exhaled carbon dioxide (CO2), blood pressure (BP) and bispectral monitoring (BIS) values were recorded during the entire dental treatment procedure. Results: A statistically significant decrease in systolic BP, diastolic BP and RR was observed, with no significant differences between the healthy and disabled groups. In contrast, the HR and BIS values were lower in the CSN group than in the healthy patients (p ≤ 0.05). Conclusions: Patients with special needs had lower HR and BIS values than healthy patients, while BP, SaO2 and exhaled CO2 showed similar results in both groups
    Áreas temáticas: Saúde coletiva Odontología Medicina ii Medicina i Interdisciplinar General dentistry Farmacia Dentistry (miscellaneous) Dentistry (all) Ciências biológicas iii Ciências biológicas ii Astronomia / física
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    Direcció de correo del autor: cristobal.anez@urv.cat
    Fecha de alta del registro: 2024-09-07
    Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
    Enlace a la fuente original: https://www.medoraljced.com/jced/revista/2022/November/14/
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referencia al articulo segun fuente origial: Journal Of Clinical And Experimental Dentistry. 14 (11): 909-919
    Referencia de l'ítem segons les normes APA: Pérez-García S; Ruiz-Roca JA; Añez C; López-Jornet P; Gargallo-Albiol J (2022). Hemodynamic and ventilatory changes in pediatric patients with special needs: A comparative clinical study. Journal Of Clinical And Experimental Dentistry, 14(11), 909-919. DOI: 10.4317/jced.59951
    DOI del artículo: 10.4317/jced.59951
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2022
    Tipo de publicación: Journal Publications
  • Palabras clave:

    Dentistry (Miscellaneous)
    Ventilatory changes
    Special needs
    Pediatric patients
    Hemodynamic changes
    Bispectral index
    Saúde coletiva
    Odontología
    Medicina ii
    Medicina i
    Interdisciplinar
    General dentistry
    Farmacia
    Dentistry (miscellaneous)
    Dentistry (all)
    Ciências biológicas iii
    Ciências biológicas ii
    Astronomia / física
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