Abstract
Dental extractions are one of the most common reasons for pediatric hospital admission (approximately 82,000 children undergo general anesthesia (GA) for dental procedures in the UK)1 . These cases are undertaken in a range of clinical settings from district general hospitals to specialist referral centres and dental hospitals.
Highlights
Dental extractions are one of the most common reasons for pediatric hospital admission.[1]
GA would be induced intravenously (70%) followed by insertion of a supraglottic airway device (SAD): flexible laryngeal mask airway (60%), classic laryngeal mask airway (15%), Proseal (0.4%), and Ambu curved (0.4%)
endotracheal tube (ETT) removal would always be performed in the operating theater (47% deeply anesthetized, 53% awake), whereas 67% would remove an SAD in the postanesthesia care unit (PACU)
Summary
Dental extractions are one of the most common reasons for pediatric hospital admission (approximately 82 000 children undergo general anesthesia [GA] for dental procedures in the UK).[1] These cases are undertaken in a range of clinical settings from district general hospitals to specialist referral centers and dental hospitals. Shared airway management presents a challenge to the anesthesiologist and surgeon, balancing good surgical access with provision of a reliable safe airway. High case load creates a pressure to avoid inter-case delay. Current guidelines do not address the choice of airway device, technique for maintenance of anesthesia and the timing or the technique for device removal.[2].
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