Pediatric tooth extractions under sedoanalgesia

Objective: the present study aims to evaluate intravenous ketamine and inhalation sedation in children,their unwanted side-effects and surgeon satisfaction. methods: in this study,data of 922 children aged between 1-18 who underwent tooth extraction under sedoanalgesia in our department between september 2015-january 2016 were gathered and anesthesia approaches,unwanted side effects and surgical satisfaction was investigated. postoperative recovery emergence agitation or delirium was evaluated with watcha behavior scale (wbs). results: patients were grouped and compared according to acceptance of intravenous line placement (group-1) or not (group- 2). group 1 received intravenous ketamine anesthesia (n=822),group 2 received inhalation anesthesia with sevoflurane (n=100). number of patients,age,weight and gender was significantly different in two groups. when side effects were investigated nausea was observed in 30 patients (3.6%),skin rashes were observed in 26 patients (3.2%) in group-1 while skin rashes were observed in one patient (1%) in group 2. 95% of surgeons reported intravenous anesthesia,18% of surgeons reported inhalation anesthesia to be the anesthesia of choice. emergence of postoperative recovery agitation (wbs≥3) was observed more frequent in group 2 (p<0.05) than group 1. conclusion: ketamine,which has analgesic,hypnotic and amnestic effects and which does not alter pharyngeal and laryngeal reflexes thus minimizes aspiration possibility,is a safe and effective anesthetic agent for tooth extractions of the pediatric population under sedoanalgesia. © 2016,professional medical publications. all rights reserved.