Avoiding repeat general anaesthetics in children: a service evaluation of repeat general anaesthetics for dental care in paediatric patients between 2017-2023 in Cardiff

Abstract

Introduction Children may require general anaesthetic (GA) for dental care for a variety of reasons, including limited cooperation or dental anxiety. However, GA is not without risk and to avoid repeat GAs, we must treatment plan effectively. Repeat GAs not only present risks to the child's health and wellbeing but have economic implications and affect service provision.Aims and objectives To determine the incidence of repeat GAs for dental care in paediatric patients, identify why repeat GAs were required and ascertain whether changes need to be made to the treatment planning process.Methods Theatre software was used to identify paediatric patients who were booked more than once for dental treatment under GA between 2017-2023. The files of these patients were investigated to ascertain the circumstances leading to the repeat GA procedure.Results In total, 41 children (1.21%) had repeat GAs within the six years investigated. Additionally, 51% (n = 21) of paediatric patients requiring a repeat GA had behavioural factors and the most common reason for repeat GAs was new carious lesions.Conclusion We have a low repeat GA rate and have been able to identify the most common reasons for repeat GAs, as well as the specific groups of patients commonly requiring them. We have used this information to change our prevention strategies and now discuss cases of repeat GAs among consultant colleagues.