Evidence map›Paper›PMID 40729302›Full record

ArticleReports (MDPI)2024

Airway Management and General Anesthesia in Pediatric Patients with Special Needs Undergoing Dental Surgery: A Retrospective Study.

Alessandra Ciccozzi, Ettore Lupi, Stefano Necozione, Filippo Giovannetti, Antonio Oliva, Roberta Ciuffini, Chiara Angeletti, Franco Marinangeli, Alba Piroli

Abstract read
In one paragraph

Article in Reports (MDPI), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Interdisciplinary management of patients with special healthcare needs undergoing dental treatment in a tertiary care hospital setting in Germany: a retrospective study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Alessandra CiccozziDepartment of Life, Health and Environmental Sciences (MeSVA), University of L'Aquila, 67100 L'Aquila, Italy.
Ettore LupiSan Salvatore Teaching Hospital of L'Aquila, 67100 L'Aquila, Italy.ORCID 0000-0001-6993-9911
Stefano NecozioneDepartment of Life, Health and Environmental Sciences (MeSVA), University of L'Aquila, 67100 L'Aquila, Italy.
Filippo GiovannettiDepartment of Life, Health and Environmental Sciences (MeSVA), University of L'Aquila, 67100 L'Aquila, Italy.
Antonio OlivaSan Salvatore Teaching Hospital of L'Aquila, 67100 L'Aquila, Italy.
Roberta CiuffiniDepartment of Life, Health and Environmental Sciences (MeSVA), University of L'Aquila, 67100 L'Aquila, Italy.
Chiara AngelettiDepartment of Anaesthesia, Mazzini Hospital, 64100 Teramo, Italy.ORCID 0000-0002-3656-1040
Franco MarinangeliDepartment of Life, Health and Environmental Sciences (MeSVA), University of L'Aquila, 67100 L'Aquila, Italy.
Alba PiroliDepartment of Life, Health and Environmental Sciences (MeSVA), University of L'Aquila, 67100 L'Aquila, Italy.ORCID 0000-0002-1722-6490

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe definition of patients with special needs (SNs) is used in the literature to refer to individuals with mental and physical disorders for whom the usual perioperative pathways are not applicable due to lack of cooperation, regardless of age. Studies in the literature recognize the appropriateness of general anesthesia for performing day surgery dental care in this type of patient.

objectivesThe main objective was to assess the possible incidence of difficult airway management, understood as difficulty ventilating and/or intubating the patient. A secondary objective was to highlight the influence of general anesthesia on patient outcomes by testing the incidence of perioperative complications.

methodsThe present retrospective, single-center, observational study involved 41 uncooperative patients aged between 3 and 17 undergoing dental surgery under general anesthesia. Data relating to airway management and general anesthesia present in the medical records were analyzed.

resultsTracheal intubation was successfully completed in all of the patients considered, and in no case did the patient have to be woken up because of difficulty in airway management. No perioperative complications attributable to anesthesia were found in any patients.

conclusionsFrom the present experience, it can be concluded that general anesthesia is a suitable option for performing dental care in pediatric subjects with special needs, and that although the peculiar perioperative management of these patients might increase the risk of possible anesthesia-related side effects, no complications have been encountered in any case.

Indexed as

difficult airwaygeneral anesthesiapediatricspsychophysical disorders

Identifiers

PMID40729302
PMCPMC12225287

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.