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http://dx.doi.org/10.5933/JKAPD.2015.42.1.38

Use of Ketamine Hydrochloride for Pediatric Dental Patient at General Hospital  

Cha, Yoonsun (Department of Pediatric Dentistry, Wonju Severance Christian Hospital, Yonsei University)
Kim, Jihun (Department of Pediatric Dentistry, Wonju Severance Christian Hospital, Yonsei University)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.42, no.1, 2015 , pp. 38-44 More about this Journal
Abstract
Children commonly experience orofacial injuries and often need emergency treatment. Due to fear and anxiety, children tend to be uncooperative in emergency rooms. Ketamine hydrochloride is a well-known sedative agent at medical-based emergency rooms which has been used for procedural sedation. In this paper, we will discuss the sedation of uncooperative young patients, who needed dental treatments in the emergency room at Wonju Severance Christian Hospital, using ketamine. We collected the records of patients under 18-years-old who visited the emergency room for dental treatment from January 2010 to May 2014. The data was categorized by age, sex, required dental treatments and application of ketamine sedation. Among 659 pediatric patients who visited for emergency dental treatments, 118 patients were treated under sedation using ketamine. Majority of patients were under the age of 6 (110 patients), and the most frequent cause of sedation was suture of oral laceration (105 patients). Though ketamine should not be used by dentists alone, dentists in emergency rooms can easily meet the patients under deep sedation using ketamine. Hence, dentists in emergency rooms need to be aware of the clinical effects, considerations, and potential adverse effects of ketamine.
Keywords
Emergency treatment; Ketamine; Sedation;
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Times Cited By KSCI : 3  (Citation Analysis)
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