indications, risks and benefits of GA

Question 1

when may GA be indicated for a paeds patient?

Answer 1

patient is too young, too anxious or will not be co-operative with treatment

or when a dentist requires the patient to be completely still.

Question 2

when may GA not be indicated?

Answer 2

when not essential

where risks outweigh benefits

e. g. just for tooth extractions for straight teeth
- not justified as risk of death just for straight teeth?

Question 3

what are some major risks of GA?

Answer 3

death

brain damage

overdose

Question 4

what are some minor risks of GA?

Answer 4

pain and headache

nausea or vomiting

sore throat and nosebleeds

drowsiness and upset

increased future dental anxiety

Question 5

how can the safety of GA be enforced?

Answer 5

Must be a JUSTIFIED use

adequate space, facilities and experience

agreed on protocols beforehand and if transfer to care is needed - must be done near or in place with paediatric intensive care unit

Question 6

give some discharge criteria after GA

Answer 6

fully conscious and exhibits proper reflexes

satisfactory respiratory vitals

CVS stable

controlled pain nausea or vomiting

eaten, drunk, been to the toilet

Question 7

give a possible complication during dental surgery with GA

Answer 7

The mandible can flop forward, occluding airway

needs to be supported

Question 8

give some post-op instructions after paediatric GA

Answer 8

no school / nursery next day

soft play / rest

pain control

soft diet

look out for pain or bleeding