Rehabilitación bucal bajo anestesia general en pacientes cardiópatas. Experiencia de cuatro años en el Instituto Nacional de Pediatría

Abstract

Objective. To analyze presurgical and transurgical conditions of cardiac patients previously treated for oral rehabilitation under general anesthesia. Materials and methods. The records of operated cardiac patients who were previously treated for rehabilitation of the oral cavity under general anesthesia were reviewed. The nature of the cardiopathy was recorded. Results. Both operated patients and those in waiting-list for cardiac surgery were rehabilitated of the oral cavity; some patients with cardiac surgery did not have rehabilitation of the oral cavity. Conclusions. Ideally any child who requires cardiac surgery should be free of oral cavity infections. Therefore a narrower communication between (among) the Services of Cardiovascular Surgery and Stomatology is required for the benefit of the patient. If a cardiac patient is in need of surgery and has dental caries, it is important to value risk/benefit of the operation taking into consideration the number and extention of the dental lesions. Cardiac surgery can be performed by an adequate antimicrobial protection. On the contrary, it is not mandatory to put risk the life of the patient with a surgery that can be postponed after dental infections are eliminated, bearing in mind that a