| CONVERTING FROM ORAL SEDATION TO INTRAVENOUS SEDATION USING TOPICAL ANESTHETICS ON SKIN AFTER ORAL SEDATION FAILURE |
|
Eun-Hui Lee1, Seung Oh Kim2, Jong-Soo Kim1, Seung-Hoon Yoo1 |
1Department of Pediatric Dentistry, Dankook University
2Department of Anesthetic Dentistry, School of Dentistry, Dankook University |
| 경구진정 실패 후 피부 도포마취제를 사용한 정주진정으로의 전환 치료 |
|
이은희1, 김승오2, 김종수1, 유승훈1 |
1단국대학교 치과대학 소아치과학교실
2단국대학교 치과대학 치과마취과교실 |
Correspondence:
Seung Oh Kim, Tel: 041-550-1933, Email: ksomd@naver.com
|
|
Received: 12 February 2010 • Accepted: 6 May 2010 |
|
|
| Abstract |
|
The use of chloral hydrate and hydroxyzine for oral sedation is most effective in children aged less than 36 months and weighing less than 15 kg. Children who do not belong to this category may show frequent movements due to shallow sedation level, and it can lead to sedation failures. One of the solutions to such sedation failure is conversion to deeper sedation. But, it is not so much of an option, since inhalation anesthetics and devices
are required. In this case, conversion from oral sedation to intravenous sedation was successfully achieved without causing injection pain while searching for an intravenous route, by using EMLA cream (Eutectic Mixture of Local Anesthesia). A patient aged 46 months and weighing 15 kg visited the Pediatric Department of Dankook University Dental Hospital. Treatment under TSD(Tell Show Do) was offered, but due to the parent’s request, oral sedative measures were taken. Considering prompt converting from oral sedation to iv sedation in case the oral sedation fails, EMLA cream was apllied preemptively. Adequate sedation level could not be achieved after 90 minutes of oral administration, therefore, under the parent’s consent, intravenous route was prepared after conscious sedation by N2O-O2. During treatment, ETCO2, SPO2 and heart rate was monitored every 5 minutes. The patient showed stable vital signs and did not show any movements. The whole procedure took two and a half hours in total, and the treatment was completed without any adverse effects. |
| Key Words:
EMLA cream, I. V route, I. V sedation |
|
PDF Links
Download Citation
