Dental Treatment under Midazolam and $N_2O-O_2$ Sedation for Disabled Patients before General Anesthesia

장애 환자의 Midazolam 근육주사와 $N_2O-O_2$ 흡입진정을 통한 전신마취 수술 전 치과치료

  • Jung, Yong-Seok (Department of Pediatric Dentistry, School of Dentistry, Kyung-Hee University) ;
  • Ahn, Hyo Jung (Department of Pediatric Dentistry, School of Dentistry, Kyung-Hee University) ;
  • Lee, Soo Eon (Department of Pediatric Dentistry, School of Dentistry, Kyung-Hee University) ;
  • Choi, Sung Chul (Department of Pediatric Dentistry, School of Dentistry, Kyung-Hee University)
  • 정용석 (경희대학교 치과대학 소아치과학교실) ;
  • 안효정 (경희대학교 치과대학 소아치과학교실) ;
  • 이수언 (경희대학교 치과대학 소아치과학교실) ;
  • 최성철 (경희대학교 치과대학 소아치과학교실)
  • Received : 2013.03.12
  • Accepted : 2013.04.01
  • Published : 2013.03.30

Abstract

General anesthesia has been developed in dentistry as a type of management technique to sedate patients who may be uncontrollable or require medical consideration. However, emergency treatment for controlling pain before general anesthesia could be required due to the time for medical evaluation for general anesthesia. There is a greater possibility of developing complications under extended waiting period. A disabled patient who needs dental treatment under general anesthesia underwent pretreatment with intramuscular injection of midazolam and $N_2O-O_2$ inhalation sedation in these cases report.

Keywords

References

  1. Weaver JM: Special considerations concerning general anesthesia for dental treatment of handicapped patients. Anesth Prog 1995; 42: 93-4.
  2. 대한소아치과학회: 소아․ 청소년치과학. 4판. 서울, 신흥인터 내셔날. 2007, pp 257-8, 267, 672-5.
  3. 이제호, 손흥규, 김진호: 외래 전신마취하의 치료에 대한 연구. 대한소아치과학회지 1997; 24: 581-9.
  4. Khanderia U. and Pandit SK: Use of midazolam hydrochloride in anesthesia. Clin Pharmacol 1987; 62: 310-24.
  5. 금진은, 노홍석, 김재문: 부산대학교병원 소아치과에서 시행 한 전신마취에 대한 연구. 대한장애인치과학회지 2007; 3: 11-6.
  6. Nathan JE: Behavioral management strategies for young pediatric dental patients with disabilities. J Dent Child 2011; 68: 89-101.
  7. 정영진, 이긍호: 장애인의 치과치료시 전신마취 이용에 관한 통계적 연구. 대한소아치과학회지 1992; 19: 303-11.
  8. 이긍호: 장애인의 치과치료시 행동조절(전신마취하의 치과치 료). 대한소아치과학회지 1994; 21: 637-9.
  9. Boehmer J, Stoffels JA, van Rooij IA, Heyboer A: Complications due to the waiting period for dental treatment under general anesthesia. Ned Tijdschr Tandheelkd 2007; 114: 69-75.
  10. Su Y, Wang C, Ye L: Healing rate and post-obturation pain of single- versus multiple-visit endodontic treatment for infected root canals: a systematic review. J Endod 2011; 37: 125-32. https://doi.org/10.1016/j.joen.2010.09.005