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J Korean Acad Pediatr Dent. 2006;33(4): 710-716.
INTRAVENOUS SEDATION FOR UNCOOPERATIVE DENTAL CHILD PATIENTS
박용규1, 김종수2, 김승오1
1단국대학교 치과대학 소아치과학교실
2단국대학교 치과대학 치과마취과학교실
Corresponding Author: 김승오 ,
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ABSTRACT
he purpose of this study is to evaluate the intravenous (IV) sedation technique with midazolam and ketamine for uncooperative dental child patients. Three child patients between the ages of 4.4 years and 5.6 years who required sedation for dental treatment were given midazolam and ketamine. Initial dosage was combined of 0.03~0.06mg/kg midazolam and 1.0mg/kg ketamine. Additional dosages of ketamine (0.33mg/kg) were given as needed to maintain deep sedation. Pulse rate, respiratory rate, blood pressure, oxygen saturation, adverse reactions, postoperative recovery and behavior were monitored with saturation pulse oximetry, ECG, NIBP and Cardiocap. In conclusion, the combination of midazolam and ketamine is efficacious in deep sedation for painful dental treatment. However, a significant drop in oxygen saturation was observed as a common adverse side effect. Therefore advanced airway management proficiency is required in order to achieve a successful IV sedation.
Keywords: Sedation | Intravenous injection | Ketamine | Midazolam | Atropine
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