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J Korean Acad Pediatr Dent. 1999;26(4): 589-594.
[ N2O-O2 ] INHALATION SEDATION WITH SUCTION CATHETER IN FULL MOUTH BREATHING PATIENTS
윤형배
단국대학교 치과대학 마취학교실
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ABSTRACT
There are some problems in inhalation sedation of non-cooperative pediatric patients. Usually the pediatric patients reject the nasal hood and there's no cooperation for administration of nitrous oxide gas. In mouth breathing patient, other technics of sedation such as intravenous or oral sedation or general anesthesia were recommended. Common causes of mouth breathing are common cold, allergic rhinitis, sinus problem, anatomical disorder, and habitual mouth-breathing. However in some patient not indicated the general anesthesia and high failure rate in oral and intravenous sedation. Administration of N2O-O2 with suction catheter was applied in full mouth breathing patient. Clinically effective sedation were occurred during procedure about 45 to 55 minutes. There's no any side effects by N2O-O2 inhalation sedation. The patients awoke at the end of the procedure and received 100% oxygen for 2-3 minutes. There's still some problems in use of the suction catheter such as air pollution of operation theater and elevate arterial carbon dioxide tension.
Keywords: Mouth breathing; Nitrous oxide; Sedation; Suction catheter; N2O-O2
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