A comparison of sedation-related events for two multiagent oral sedation regimens in pediatric dental patients.
Pediatr Dent
; 36(4): 302-8, 2014.
Article
em En
| MEDLINE
| ID: mdl-25197995
ABSTRACT
PURPOSE:
This study compared the incidence of adverse sedation-related events occurring with two different multiagent oral sedation regimens in pediatric dental patients.METHODS:
Forty healthy patients (three to six years old), received either a sedation regimen of chloral hydrate, meperidine, and hydroxyzine with nitrous oxide (CH/M/H/N2O; N=19) or a regimen of midazolam, meperidine, and hydroxyzine with nitrous oxide (MZ/M/H/N2O; N=21). The two treating dentists answered a questionnaire regarding the perioperative period. Parents received two phone interviews at eight and 24 hours after sedation. Statistical analysis included chi-square, Pearson correlation coefficient, and t-test (P<.05).RESULTS:
Children sedated with MZ/M/H/N2O showed a significant increase in hyperactivity during dental treatment, slurring/difficulty speaking, and difficulty walking postoperatively within eight hours after discharge. Children sedated with CH/M/H/N2O showed a significant increase in frequency of sleeping, talking less than normal after arriving home, and an increased need for postoperative pain medication.CONCLUSIONS:
Different oral sedation regimens produce different adverse sedation-related events. The provider of pediatric oral sedation should select a sedative regimen with an adverse sedation-related profile that he/she believes is optimal for the patient being treated. Parents should be counseled as to possible postsedation effects anticipated based on the sedative regimen administered.
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Base de dados:
MEDLINE
Assunto principal:
Sedação Consciente
/
Hipnóticos e Sedativos
/
Anestesia Dentária
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article