INTRAVENOUS SEDATION FOR UNCOOPERATIVE DENTAL CHILD PATIENTS

,; ,; ,

Journal of the Korean Academy of Pediatric Dentistry 2006;33(4):710-716.
Published online November 30, 2006.

INTRAVENOUS SEDATION FOR UNCOOPERATIVE DENTAL CHILD PATIENTS

¹단국대학교 치과대학 소아치과학교실
²단국대학교 치과대학 치과마취과학교실

비협조적인 아동의 치과 치료를 위한 정주 진정요법

박용규¹, 김종수², 김승오¹

¹단국대학교 치과대학 소아치과학교실
²단국대학교 치과대학 치과마취과학교실

Correspondence: ,

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.

Key Words: Sedation, Intravenous injection, Ketamine, Midazolam, Atropine