R5 An audit of local compliance with general anaesthetic guidelines outlined for paediatric dentistry

Objectives:  To assess current practice in terms of diagnosis, treatment planning and consent in the use of dental general anaesthetic (GA). To compare current practice to national guidelines and implement any changes required to improve clinical practice. Methods:  A retrospective study was carried out over 1 year (2004–2005). 100 paediatric patients undergoing long (comprehensive care) and short (extractions only) dental GA were randomly selected. A proforma was designed to collect data, from patient records, regarding presenting complaint, medical history, treatment carried out during and before GA and consent. Patients who attended oral and maxillofacial clinics were not included. Results:  In most cases, GA was justified inline with guidelines but consent and treatment planning could be improved. Conclusion:  The department is adhering to guidelines in prescribing GA for patients. It is hoped that by producing a departmental policy, this could improve.