KMID : 0980220090090020104
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Journal of the Korean Dental Society of Anesthesiology 2009 Volume.9 No. 2 p.104 ~ p.107
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Paradoxical Reaction to Midazolam Used in Intravenous Sedation for Dental Treatment -Report of a Case and Review of the Literature-
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Jeon Jae-Yun
Jung Se-Hwa Lee Byung-Ha Im Jae-Jung Hwang Kyung-Gyun Shim Kwang-Sub Park Chang-Joo
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Abstract
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Midazolam, one of the most common benzodiazepine derivatives, is widely used in intravenous sedation for dental treatment without severe complications. However, paradoxical reactions to midazolam, including patient¡¯s unanticipated restlessness, agitation, hostility, and rage, have been frequently reported since the introduction of benzodiazepine. During outpatient intravenous sedation using midazolam for dental treatment, we experienced a paradoxical reaction to midazolam in a 28-year-old female patient. With a thorough review of the literature, the management of this complication and its various etiologies were discussed.
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KEYWORD
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Behavior and behavioral mechanisms, Benzodiazepine, Flumazenil, Midazolam
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