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KMID : 0358920060330040710
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Journal of the Korean Academy of Pedodontics
2006 Volume.33 No. 4 p.710 ~ p.716
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INTRAVENOUS SEDATION FOR UNCOOPERATIVE DENTAL CHILD PATIENTS
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Park Yong-Gyu
Kim Seung-Oh
Kim Jong-Soo
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Abstract
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The 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{sim}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.
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KEYWORD
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Sedation, Intravenous injection, Ketamine, Midazolam, Atropine
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