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Revista ADM Órgano Oficial de la Asociación Dental Mexicana

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Órgano Oficial de la Asociación Dental Mexicana
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2004, Number 6

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Rev ADM 2004; 61 (6)

Sedation and general anesthesia in the practice of dentistry, part two: anesthesic approach and success evaluation

Pizano DMI, Bermúdez RLF
Full text How to cite this article

Language: Spanish
References: 18
Page: 205-208
PDF size: 64.31 Kb.


Key words:

Sedation, anesthesia, pedodontics..

ABSTRACT

There are three principal techniques for the patients anesthesic approach: conscious sedation, deep sedation and general anesthesia. It is important the knowledge and experience in the use of drugs for these techniques. The right drug suggestion, is the key for a successful technique. The idea of a succesful/procedure based in unconsciousness and motionless has to be eliminated, and do it on the basis of a standard scale. Following these recommendations we can talk about some “golden rules” for the total success of sedation and general anesthesia for the dental practice.


REFERENCES

  1. American Academy of Pediatric Dentistry: Guidelines for the elective use of pharmacologic conscious sedation and deep sedation in pediatric dental patients. Pediatr Dent Special Issue 1999-2000; 21: 42-46.

  2. White PF. Manual de fármacos en anestesia. Ed McGraw Hill, I Edición, México 1996.

  3. Goodman A, Rall T, Nies A. Las bases farmacológicas de la terapéutica. Ed Panamericana. 8 Edición, México 1991.

  4. Meyer ML, Mourino AP. Comparison of triazolam to a chloral hydrate/hydroxyzine combination in the sedation of pediatric dental patients. Pediatr Dent 1990; 12(5): 283-287.

  5. Davila J, Herman AE, Proskin H. Comparison of the sedative effectiveness of two pharmacological regimens. J Dent Child 1994: 276-281.

  6. Poorman TL, Farrington F, Mourino AP. Comparison of a chloral hydrate/hydroxyzine combination with and without meperidine in the sedation of pediatric dental patients. Pediatr Dent 1990; 12(5): 288-291.

  7. Reeves S, Wiedenfel KR, Wrobleski J. A randomized double-blind trial of chloral hydrate/hydroxyzine vs midazolam/acetaminophen in the sedation of pediatric dental outpatients. J Dent Child 1996: 95-99.

  8. McCann W, Wilson S, Larsen P. The effects of nitrous oxide on behavior and physiological parameters during conscious sedation with a moderate dose of chloral hydrate and hydroxyzine. Pediatr Dent 1996; 18(1): 35-41.

  9. Hasty MF, Vann WF, Dilley DC. Conscious sedation of pediatric dental patients: an investigation of chloral hydrate, hydroxyzine pamoate and meperidine vs chloral hydrate and hydroxyzine pamoate. Pediatr Dent 1991; 13(1): 10-18.

  10. Religa ZC, Wilson S, Ganzberg S. Association between bispectral analysis and level of conscious sedation of pediatric dental patients. Pediatr Dent 2002; 24(3): 221-228.

  11. Hartgraves P, Promosch R. An evaluation of oral and nasal midazolam for pediatric dental sedation. J Dent Child 1994: 175-180.

  12. Kupietzky A, Holan G. Intranasal midazolam better at effecting amnesia after sedation than oral hydroxyzine: a pilot study. Pediatr Dent 1996; 18(1): 32-34.

  13. Kupietzky A, Milton H. Midazolam: a review of its use for conscious sedation of children. Pediatr Dent 1993; 15(4): 237-241.

  14. Gallardo F, Cornejo G, Borie R. Oral midazolam as premedication for the apprehensive child before dental treatment. J Clin Ped Dent 1994; 18(2): 123-126.

  15. Fukuta O, Braham R, Yanase H, Koruso K. Intranasal administration of midazolam: pharmacokinetic and pharmacodynamic properties and sedative potential. J Dent Child 1997: 89-97.

  16. Reinemer H, Wilson C, Webb M. A comparison of two ketamine-diazepam regimens for sedating anxious pediatric dental patients. Pediatr Dent 1996; 18(4): 294-300.

  17. Rosenberg M. Oral ketamine for deep sedation of difficult to manage children who are mentally handicapped: Case report. Pediatr Dent 1991; 13(4): 221-223.

  18. Houpt MI, Koenigsber SR, Weiss NJ. Comparison of chloral hydrate with and without promethazine in the sedation young children. Pediatr Dent 1985; 7: 41-46.




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Rev ADM. 2004;61