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2004, Number 3

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Rev Mex Pediatr 2004; 71 (3)

Clinical effectiveness of two sedation schemes with ketamine in pediatrics dentistry

Soria-Espinosa LG, Juárez-López LA, Mayorga-Muñoz A

Language: Spanish
References: 23
Page: 116-122
PDF size: 73.29 Kb.


ABSTRACT

Objective. The objective of this work was to evaluate the effectiveness and security of two schemes for deep sedation in pediatric patients: ketamine, droperidol, nalbufine and atropine (KDNA) versus ketamine, midazolam, atropine and oxidize nitrous (KMAN2O-O2). Material and methods. There were selected 30 children from 24 to 40 months old and negative conduct. They were randomly distributed into two groups, for each one of the regimens, that were administered by intramuscularly route. The sedation level was evaluated according to the Ramsay’s scale. The vital signs were continuously monitored. Results. All the patients reached level 6 according to the Ramsay’s scale. The induction and recovery time was smaller for the group that received KMAN2O-O2 (p < 0.05). There were observed differences in the vital signs behavior, the KMAN2O-O2 group showed greater stability (p > 0.05). Conclusions. Both KDNA and KMAN2O-O2 schemes showed to be effective for sedation in pediatric dentistry, without clinically significant changes in the vital signs. Nevertheless we considered that KMAN2O-O2combination is more recommendable for the oral rehabilitation in ambulatory procedures.


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