Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)
- Volume 25 Issue 4
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- Pages.710-716
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- 1998
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- 1226-8496(pISSN)
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- 2288-3819(eISSN)
THE USE OF DEEP SEDATION FOR THE DENTAL MANAGEMENT OF PEDIATRIC PATIENTS WITH DEFINITELY NEGATIVE BEHAVIOR
행동조절이 어려운 소아환자의 Deep sedation을 이용한 치과치료
- Um, Hye-Sook (Department of Pediatric Dentistry, School of Dentistry, Dankook University) ;
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Yoon, Hyung-Bae
(Department of Anesthesiology, School of Dentistry, Dankook University)
- Published : 1998.11.30
Abstract
It is one of difficulties to control children who show definitely negative behavior in dental clinic. In such a case, the pharmacologic management has been used to provide quality care, minimize the extremes of disruptive behavior, promote a positive psychologic response to treatment and patient welfare and safety. Deep sedation can be defined as a controlled, pharmacologically-induced state of depressed consciousness from which the patient is not easily aroused which may be accompanied by a partial loss of protective reflexes. In this retrospective report, the sedation records of 200 pediatric dental patients of ASA Class I & II who were not successfully treated under conscious sedation were used for analysis. Most frequently used regimen of deep sedation was the co-medication of midazolam(0.3mg/kg), enflurane(1.0-2.0 vol%) and 50-70%