Choice of anaesthetic and health care facility for third molar surgery

Edwards, Deborah Jayne ORCID: https://orcid.org/0000-0003-1885-9297, Brickley, Mark, Edwards, M. J. and Shepherd, Jonathan Paul ORCID: https://orcid.org/0000-0001-6466-2298 1998. Choice of anaesthetic and health care facility for third molar surgery. British Journal of Oral and Maxillofacial Surgery 36 (5) , pp. 333-340.

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Abstract

A prospective investigation was carried out to find out which factors affected the choice of anaesthetic for 444 consecutive patients (153 male, 291 female, age range 15–85) listed for extraction of third molars. Two hundred and seventy-two were listed for treatment under general anaesthesia, 120 (44%) as inpatients and 152 (60%) as day cases. The remaining 144 (32%) patients were to be treated under local anaesthesia and 28 (6%) with additional intravenous sedation. Logistic regression analysis showed that difficulty of surgery, patients' anxiety, patients' preferences, medical history, and number of teeth to be removed were important predictors of choice of anaesthetic. From an anaesthetist's perspective, many more patients should have been treated under local anaesthesia with intravenous sedation and fewer should have been listed for inpatient extraction under general anaesthesia.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Dentistry Healthcare Sciences
Subjects:	R Medicine > RD Surgery R Medicine > RK Dentistry
Publisher:	Churchill Livingstone
ISSN:	0266-4356
Last Modified:	24 Oct 2022 10:10
URI:	https://orca.cardiff.ac.uk/id/eprint/43312

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