NBC: 堪萨斯三岁儿童拔牙前打麻药,半个小时后昏迷心跳减慢,被给了强心剂,死亡

y
yzout
楼主 (文学城)
Wilson Wong Wed, July 14, 2021, 10:26 AM    

A mother in Kansas is searching for answers after her 3-year-old son died following a routine dental procedure last Tuesday.

Abiel Valenzuela Zapata needed to get his teeth pulled at Tiny Teeth Pediatric Dentistry in Wichita after a gum infection, his mother, Nancy Valenzuela, told NBC affiliate KSNW.

  3-year-old Abiel Valenzuela Zapata, who died after a dental procedure in Wichita, Kan. (Courtesy / Nancy Valenzuela)

Valenzuela, a mother of three from Scott City, said Abiel was fine before the surgery and thought it would be a simple procedure.

“We didn’t expect to come out of there without a child,” she told the station.

About 30 minutes after being placed under anesthesia, Abiel's "right cheek swelled up" and his heart rate slowed down, according to a police report obtained by KSNW. He was subsequently given a substance "to try to increase his heart rate when his pulse stopped and they started CPR."

Officers responded to a call of an unresponsive boy at a building on the 3900 block of North Maize Road, Wichita police said. The 3-year-old patient was taken to a hospital, where he later died.

"It is believed that the child had an unanticipated reaction to medicine provided during the course of his dental procedures," police said in a statement.

According to the police report, the doctor who performed the dental procedure said he had never seen anything like this in his career, particularly for someone without any known allergies.

Authorities said currently there is no criminal investigation happening.

Valenzuela did not immediately respond to a request for comment Wednesday.

山水一程歌
我们这里也发生过一次,两岁小女孩被牙医打麻药死亡
想长肉肉
美国麻药有点滥用,动不动全麻,其实都是不必要的
i
iMe
我有一次看牙打麻药,不麻加量,还不麻又加量,然后心脏狂跳,还好没有什么事
F
FollowNature
其实幼童真的不需要拔牙,我的孩子两三岁时也有一次让拔牙,我们就没做。医生过度治疗,很可恶。
老道
赞!再有心跳加速是因为有的局麻药里含有微量的肾上腺素(所谓的强心剂),吸收入血可以升高血压加快心跳。
老道
幼儿无法配合,手术一般都需要全麻。再有应该尽可能避免在诊所做比较大的需要全麻的手术,因为

医生诊所的手术室尽管有时离医院很近,甚至就是旁边的楼或门对过,但有可能诊所和医院不是一个单位。一旦有紧急情况,医院的急救人员(Code Blue team)不能去诊所抢救病人,诊所医生在尽力而为的同时只能Call 911等待救护车,而美国的这种救护车上一般只有EMT,没有医生护士。再有美国对诊所的急救设备药品都有明文规定,即使这样那些设备药品也只能满足最基本的需要。而且诊所缺少急救的专业人员,有麻醉医生在场的会好一些,可很多情况下只有麻醉护士。在医院里一个Code Blue call几分钟内就会有十几个医生护士到现场,而且需要时会有更多的专科医生加入抢救。而在诊所,就算好不容易等来了救护车,还要把病人送到医院的急诊室才能开始医院水平的抢救。真到那时就可能是分秒之差,生死之别了!

现在很多手术和Procedure都是在诊所或诊所的手术室里做的,一般讲胃镜结肠镜,牙科妇科皮肤科眼科等等小手术还是比较安全的,因为这些手术很少需要全麻。我知道的出问题最多的应该是整形科诊所,这就不多说了。

i
iMe
Teenager拔智齿呢?
老道
健康的Teenager一般没问题,包括四个一起拔。牙医使用吸入Nitrous Oxide,严格讲这是Sedation,不是全麻。
p
pickshell
实话,俺很敬佩老道医生,谦逊稳重实在,他的贴必看。
i
iMe
非常感谢!
老道
过奖了。这周休假,可让COVID搞得哪也不敢去。无事上来和大家交流,学到一些知识,如还真的能帮助哪位朋友那就太好了。