Deep Sedation With Sevoflurane Inhalation via a Nasal Hood for Brief Dental Procedures in Pediatric Patients

Kim, Seung-Oh; Kim, Young-Jae; Hyun, Hong‐Keun; Koo, Yong Seo; Shin, Teo Jeon

doi:10.1097/pec.0b013e31829ec4e9

Cited by 21 publications

(23 citation statements)

References 7 publications

(3 reference statements)

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“…In our department, children who underwent examination in our pediatric clinic and did not allow examination, or who did not consent tooth extraction in the clinic after at least two attempts are directed to sedoanalgesia thus have high fear and anxiety levels. Therefore we aim MRSS level 4 in our sedation practice and give preference to sevoflurane, which has lower blood-gas solubility compared to other inhalation agents, has fast-paced effect, which ends fast and does not cause airway irritation 16-18. When 2400 closed cases in the USA were evaluated, it was observed that 238 of these cases were pediatric, which involved respiratory problems different from adults and was concluded that the mortality rate could be decreased with better monitorization 9,19.…”

Section: Discussionmentioning

confidence: 99%

Pediatric tooth extractions under sedoanalgesia

Arpacı¹,

Işık²

2016

Pak J Med Sci

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Objective:The present study aims to evaluate intravenous ketamine and inhalation sedation in children, their unwanted side-effects and surgeon satisfaction.Methods:In this study, data of 922 children aged between 1-18 who underwent tooth extraction under sedoanalgesia in our department between September 2015-January 2016 were gathered and anesthesia approaches, unwanted side effects and surgical satisfaction was investigated. Postoperative recovery emergence agitation or delirium was evaluated with Watcha Behavior Scale (WBS).Results:Patients were grouped and compared according to acceptance of intravenous line placement (Group-1) or not (Group- 2). Group 1 received intravenous ketamine anesthesia (n=822), Group 2 received inhalation anesthesia with sevoflurane (n=100). Number of patients, age, weight and gender was significantly different in two groups. When side effects were investigated nausea was observed in 30 patients (3.6%), skin rashes were observed in 26 patients (3.2%) in Group-1 while skin rashes were observed in one patient (1%) in Group 2. 95% of surgeons reported intravenous anesthesia, 18% of surgeons reported inhalation anesthesia to be the anesthesia of choice. Emergence of postoperative recovery agitation (WBS≥3) was observed more frequent in Group 2 (p<0.05) than Group 1.Conclusion:Ketamine, which has analgesic, hypnotic and amnestic effects and which does not alter pharyngeal and laryngeal reflexes thus minimizes aspiration possibility, is a safe and effective anesthetic agent for tooth extractions of the pediatric population under sedoanalgesia.

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Section: Discussionmentioning

confidence: 99%

Pediatric tooth extractions under sedoanalgesia

Arpacı¹,

Işık²

2016

Pak J Med Sci

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“…Despite the availability of wide range of anesthetic drugs, sevoflurane is found to be useful in inducing anesthesia in children [6]. Anesthetic doses of propofol are successfully used for induction of anesthesia in anxious children facilitating the dental treatment [7].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Physiological Parameters in Children Undergoing Dental Treatment Under General Anesthesia With Propofol and Sevoflurane - A Retrospective Cohort Study

Govindaraju

Gurunathan

Krishnan

2017

Asian J Pharm Clin Res

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Objective: The present study was conducted to evaluate the effect of these drugs on the blood pressure (BP) and pulse rate during induction of anesthesia in children undergoing full mouth rehabilitation.Methods: Data were collected from the records maintained for the children <6 years who underwent full mouth rehabilitation under general anesthesia (GA). The drugs used for induction, the changes seen in the BP, pulse rate were recorded. Statistical analysis was done using Mann-Whitney test with p<0.05, significant. Results:Of 64 children treated under GA, 31 children were induced with propofol and by sevoflurane in the remaining 33 children. The induction time with 2 mg/kg dosage of propofol was approximately 12 seconds while it was variable with 8% sevoflurane. The mean systolic and diastolic BP and pulse rate were found to be within the normal levels under both the drugs. Conclusion:In children, sevoflurane and propofol can be safely used for inducing anaesthesia.

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“…Chair dental anesthesia was often provided by anesthesiologists using halothane, although this combination was not without its risks. Sevoflurane is a much safer agent and may be used to provide an appropriate level of anesthesia in an office dental chair location [54]. Anesthesia was induced using a full facemask and then replaced with a nasal mask.…”

Section: General Anesthesiamentioning

confidence: 99%