PMID- 37676186
OWN - NLM
STAT- MEDLINE
DCOM- 20231030
LR  - 20240229
IS  - 1943-4723 (Electronic)
IS  - 0002-8177 (Linking)
VI  - 154
IP  - 11
DP  - 2023 Nov
TI  - Assessing the safety of deep sedation in outpatient pediatric oral health care.
PG  - 975-983.e1
LID - S0002-8177(23)00462-2 [pii]
LID - 10.1016/j.adaj.2023.07.019 [doi]
AB  - BACKGROUND: Children are the patient subgroup with the lowest error tolerance 
      regarding deep sedation (DS)-supported care. This study assessed the safety of 
      DS-supported pediatric dental treatment carried out in an outpatient setting 
      through retrospective review of patient charts. METHODS: An automated script was 
      developed to identify charts of pediatric patients who underwent DS-supported 
      dental procedures from 2017 through 2019 at a dental clinic. Charts were assessed 
      for the presence of sedation-related adverse events (AEs). A panel of experts 
      performed a second review and confirmed or refuted the designation of AE (by the 
      first reviewer). AEs were classified with the Tracking and Reporting Outcomes of 
      Procedural Sedation system. RESULTS: Of the 175 DS cases, 19 AEs were identified 
      in 15 cases (8.60%). Using the Tracking and Reporting Outcomes of Procedural 
      Sedation classification system, 7 (36.84%) events were related to the airway and 
      breathing category, 9 (47.37%) were related to sedation quality (including a 
      dizzy patient who fell at the checkout desk and sustained a head laceration), and 
      3 (15.79%) were classified as an allergy. CONCLUSION: This study suggests an AE 
      (whether relatively minor or of potentially major consequence) occurs in 1 of 
      every 12 DS cases involving pediatric patients, performed at an outpatient dental 
      clinic. Larger studies are needed, in addition to root cause analyses. PRACTICAL 
      IMPLICATIONS: As dentists increasingly pivot in the use of DS services from 
      in-hospital to outpatient settings, patients expect comparable levels of safety. 
      This work helps generate evidence to drive targeted efforts to improve the safety 
      and reliability of pediatric outpatient sedation.
CI  - Copyright (c) 2023 American Dental Association. Published by Elsevier Inc. All 
      rights reserved.
FAU - Gandhi, Henal Alpesh
AU  - Gandhi HA
FAU - Olson, Greg
AU  - Olson G
FAU - Lee, Helen
AU  - Lee H
FAU - Zouaidi, Kawtar
AU  - Zouaidi K
FAU - Yansane, Alfa
AU  - Yansane A
FAU - Walji, Muhammad
AU  - Walji M
FAU - Kalenderian, Elsbeth
AU  - Kalenderian E
FAU - Tokede, Bunmi
AU  - Tokede B
LA  - eng
PT  - Journal Article
DEP - 20230905
PL  - England
TA  - J Am Dent Assoc
JT  - Journal of the American Dental Association (1939)
JID - 7503060
SB  - IM
CIN - J Am Dent Assoc. 2024 Jan;155(1):5-6. PMID: 38032592
MH  - Child
MH  - Humans
MH  - *Outpatients
MH  - *Deep Sedation/adverse effects/methods
MH  - Reproducibility of Results
MH  - Retrospective Studies
MH  - Conscious Sedation/adverse effects
MH  - Delivery of Health Care
OTO - NOTNLM
OT  - Adverse events
OT  - TROOPS
OT  - deep sedation
OT  - patient safety
EDAT- 2023/09/07 12:42
MHDA- 2023/10/30 06:46
CRDT- 2023/09/07 10:33
PHST- 2023/03/07 00:00 [received]
PHST- 2023/06/12 00:00 [revised]
PHST- 2023/07/24 00:00 [accepted]
PHST- 2023/10/30 06:46 [medline]
PHST- 2023/09/07 12:42 [pubmed]
PHST- 2023/09/07 10:33 [entrez]
AID - S0002-8177(23)00462-2 [pii]
AID - 10.1016/j.adaj.2023.07.019 [doi]
PST - ppublish
SO  - J Am Dent Assoc. 2023 Nov;154(11):975-983.e1. doi: 10.1016/j.adaj.2023.07.019. 
      Epub 2023 Sep 5.