Key Points
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Provides insight to the location, organisation, case-mix and activity of paediatric dental general anaesthesia services in Yorkshire and Humber.
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Identifies that no universal monitoring system existed and standards of best practice were often not met.
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A universal monitoring system would help ensure quality services.
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Suggests further training is required to meet standards of best practice.
Abstract
Background Following major change in UK policy regarding dental general anaesthesia (DGA) in 2001, there appears to be little information available about paediatric DGA services, their organisation, availability and utilisation.
Aims To establish the location, organisation and monitoring systems of paediatric DGA services in Yorkshire and the Humber Strategic Health Authority and to audit these services against existing standards of best practice.
Design A postal survey of all potential paediatric DGA providers in Yorkshire and the Humber.
Results Thirty-one possible DGA service providers were identified, 24 of which provided paediatric DGAs. Of 84 DGA lists identified, 75 regularly treated children, and nine were run on an ad hoc basis. The lists were held in 20 centres. The number of patients treated per list varied depending on treatment provided, ranging from 3.9 to 7.5 patients per list. Maximum waiting times varied from three to 84 weeks. Outcome data recording methods varied. Just over half of respondents used the Hospital Episode Statistics system; the remainder used other systems, or none.
Conclusions There was much variation in how DGA lists were organised. Most lists met some of the accepted standards, but very few met all. Waiting times were largely in accordance with national targets.
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Ní Chaollaí, A., Robertson, S., Dyer, T. et al. An evaluation of paediatric dental general anaesthesia in Yorkshire and the Humber. Br Dent J 209, E20 (2010). https://doi.org/10.1038/sj.bdj.2010.1081
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DOI: https://doi.org/10.1038/sj.bdj.2010.1081
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