Descriptive Study of Perioperative Analgesic Medications Associated With General Anesthesia for Dental Rehabilitation of Children

Purpose: The purpose of this retrospective chart review was to document sedation and analgesic medications administered preoperatively, intraoperatively, and during postanesthesia care for children undergoing dental rehabilitation using general anesthesia (GA). Methods: Patient gender, age, procedure type performed, and ASA status were recorded from the medical charts of children undergoing GA for dental rehabilitation. The sedative and analgesic drugs administered pre-, intra-, and postoperatively were recorded. Statistical analysis included descriptive statistics and cross-tabulation. Results: A sample of 115 patients with a mean age of 64 (+/- 30) months was studied; 47% were females, and 71% were healthy. Over 80% of the patients were administered medications primarily during pre- and intraoperative phases, with fewer than 25% receiving medications postoperatively. Morphine and fentanyl were the most frequently administered agents intraoperatively. The procedure type, gender, and health status were not statistically associated with the number of agents administered. Younger patients, however, were statistically more likely to receive additional analgesic medications. Conclusions: Our study suggests that a minority of patients have postoperative discomfort in the postanesthesia care unit; mild to moderate analgesics were administered during intraoperative phases of dental rehabilitation. (Pediatr Dent 2010;32:141-5) Received October 31, 2008 vertical bar Last Revision April 16, 2009 vertical bar Revision Accepted April 16, 2009