Abstract
Respiratory disorders are aggravated according to age in many instances involving patients with severe cerebral palsy (CP). Most anesthetics have stronger effects on older people. It is therefore hypothesized that older CP patients show airway obstruction more easily than younger CP patients during dental treatment under general anesthesia without intubation. We investigated management using propofol without intubation, which had been performed in our hospital during dental treatment for 29patients with cerebral palsy in order to clarify the relationship between the respiratory disorder and age of CP patients under general anesthesia. The following results were obtained.
1. The doses of propofol administered to the patients did not change significantly with aging.
2. The ratio of the occurrence of body movement during dental treatment did not show a significant relationship to age.
3. The ratio of the occurrence of airway obstruction during the management of the oldest group was significantly higher than that of the younger groups.