POSTSEDATION EVENTS IN PEDIATRIC PATIENTS SEDATED FOR DENTAL TREATMENT |
1이화여자대학교 의과대학 목동병원 소아치과학교실 2아주대학교 의과대학 치과학교실 |
진정법을 이용한 치과 치료 시 소아 환자의 진정 후 반응에 대한 연구 |
구정은1, 백광우2 |
1이화여자대학교 의과대학 목동병원 소아치과학교실 2아주대학교 의과대학 치과학교실 |
Correspondence:
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Received: 25 August 2008 • Accepted: 11 March 2009 |
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Abstract |
The purpose of this retrospective study was to examine twenty four hour postsedation events after discharge in children sedated for dental treatment. The sedation sheets of 355 children were selected. Selection criteria excluded no midazolam or nasal route of midazolam, no ASA class I, absent or incomplete questionnaire. Children received orally chloral hydrate and hydroxyzine, nitrous oxide was maintained during the sedation. Midazolam was injected to buccal submucosa with titration. Parents were interviewed via telephone within twenty four hours after sedation. Questionnaire included sleeping response, sleeping time, sleeping behavior, vomiting response at home. Two hundred twenty four (67.8%) children slept and twenty one(6.3%) children had abnormal sleeping behavior. One hundred four(31.0%) children had abnormal behavior after sleep and ten(3.0%) children had vomiting response. In the children took the higher dose of midazolam, there were the great tendency to sleep after discharge (p<0.05), the more negative response to sleeping behavior(p = 0.055), the longer sleeping time(p=0.054). In this study many children slept after sedation and a few children showed negative response. However there were not any considerable emergency events. Further study is required to determine the postsedation safety for the use of submucosal midazolam combination with chloral hydrate and hydroxyzine. |
Key Words:
Postsedation response, Midazolam, Adverse effect |
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