Aichi Gakuin Daigaku Shigakkai shi
-
Aichi Gakuin Daigaku Shigakkai Shi · Dec 1989
[Dental treatment and the prognosis for handicapped children].
We analysed a survey made on oral examinations at the first visit, the kind of dental treatment and the prognosis. The subjects were 77 handicapped children who received dental treatment at the pedodontic clinic of the Aichi-Gakuin University Dental Hospital and periodic examinations after the completion of dental treatment. The average age of the subjects was 7.4 (2.11 to 16.7 years old). (1) At the first visit, the mean number of untreated decayed teeth was 7.1 for the group of children who received dental treatment without general anesthesia, and 12.0 for the group of children who received dental treatment with general anesthesia. ⋯ Endodontic treatment was performed on 20.6% of the deciduous and 8.9% of the permanent teeth. (3) For the group of children who received dental treatment with general anesthesia, restoration was performed on 57.0% of the deciduous and 95.1% of the permanent teeth; the remaining 42.9% of the deciduous and 4.9% of the permanent teeth were extracted. Endodontic treatment was performed on 25.3% of the deciduous teeth and 12.2% of the permanent teeth. (4) In the case of restorative treatment, the highest incidence was in metal crowns on the deciduous teeth, and amalgam fillings in the permanent teeth for the groups of children who received dental treatment with or without general anesthesia. In the case of endodontic treatment, the highest incidence was in pulp amputation for the groups of children who received dental treatment with or without general anesthesia. (5) During the past year of completed dental treatment, unsuccessful cases were 5.4% for the restorative treatment and 0% for the endodontic treatment for the group of children who received dental treatment without general anesthesia; unsuccessful cases were 14.1% for the restorative treatment and 4.1% for the endodontic treatment for the group of children who received dental treatment with general
-
Aichi Gakuin Daigaku Shigakkai Shi · Jun 1989
[Effects of intravenous injections of lidocaine on hemodynamics and catecholamine levels during endotracheal intubation in infants and children].
It is known that during anesthesia, administering medication and endotracheal intubation often cause stress for the patient which induces sthenia of the endocrinal system as well as changes in hemodynamics, sometimes leading to further systemic complications. Various changes in hemodynamics caused by endotracheal intubation in infants and children were studied, including tachycardia and increased blood pressure. Changes in catecholamine levels in blood plasma and in cardiovascular parameters were observed, with patients divided into two groups for comparison. ⋯ The results also indicate that systemic complications during the induction of general anesthesia may be due to an increased secretion of endogenous catecholamines. These results further suggest that an intravenous injection of lidocaine is not effective in suppressing the increase of catecholamines in the plasma during endotracheal intubation. The intravenous injection of lidocaine, however, inhibits tachycardia and also inhibits the increase in blood pressure often caused by endotracheal intubation, and also serves to reduce the general oxygen demand in the cardiac tissue.