ADDITIONAL EFFECTS OF NITRUOS OXIDE TO OTHER SEDATIVE DRUGS FOR BEHAVIOR MANAGEMENT

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Journal of the Korean Academy of Pediatric Dentistry 1996;23(4):937-945.
Published online November 30, 1996.

ADDITIONAL EFFECTS OF NITRUOS OXIDE TO OTHER SEDATIVE DRUGS FOR BEHAVIOR MANAGEMENT

약물을 이용한 행동조절시 부가적인 아사화질소 흡입진정의 효과

진영임, 양규호

전남대학교 치과대학 소아치과학교실

Abstract

Nitrous oxide has acquired widespread use as a tool for management of anxious and comprehensive pediatric dental patients. Clinical impressions have suggested that inhalation sedation with N₂O/O₂ reinforces the effect of other sedatives. Fifteen uncooperative children, mean age of 37months, who were regarded as fail in the first treatment using chloral hydrate-hydroxyzine orally, midazolam orally or intranasally, were sedated with the same sedatives in conjunction with N₂O/O₂. All the children were restrained in a pediwrap and were monitored with pulse oximeter for their heart rate and oxygen saturation. Degree of sleep, crying and movement were evaluated. The clinical results indicated that a satisfactory level of sedation was achieved in approximately two thirds of the cases (about 66 %) under those sedation manner. Complications were rare and those of treatments were successfully completed without difficulty.