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- Title
Deep Sedation for Pediatric Dental Procedures: Is this a Safe and Effective Option?
- Authors
Ahmed, Sheikh Sohail; Hicks, Shawn R.; Slaven, James E.; Nitu, Mara E.
- Abstract
<bold>Objective: </bold>Sedation may be needed for safe, effective completion of pediatric dental procedures. Procedural sedation is performed in a children's hospital based dental office. The three sedation approaches: a propofol-only (P-O) approach (2-3 mg/kg titrated to the needed level of sedation), an approach that includes either i.v. ketamine (K+P) (0.25 or 0.5 mg/kg) or i.v. fentanyl (F+P) (0.5-1 mcg/kg) prior to propofol administration. We sought to determine safety and efficacy of various propofol based sedation protocols.<bold>Study Design: </bold>Retrospective review of 222 patients receiving a propofol-only (P-O), ketamine+propofol (K+P) or fentanyl+propofol (F+P) approach.<bold>Results: </bold>There were 44 patients in P-O group, 154 in K+P group and 24 in F+P group with mean age (4.8±3.4 y) and mean weight (19.7±6.7 kg). All the patients completed procedures successfully. Mild hypoxemia occurred in 24% of cases and resolved with nasal cannula. Mean total dose of propofol was similar in all groups (P-O 8.2 mg/kg, K+P 9.5 mg/kg, F+P 9.6 mg/kg, p=0.15). Although procedure and recovery times were similar in all groups, discharge times in K+P group were significantly shorter than P-O group and F+P group respectively (K+P 9.35±8.93.min, P-O 13.57±10.42 min, F+P 10.42±4.40 p= 0.002).<bold>Conclusion: </bold>Sedation can be accomplished safely and effectively in a children's hospital based dental office using propofol-based sedation.
- Subjects
DENTAL anesthesia; INTRAPULPAL anesthesia; PEDIATRIC dentistry; PROPOFOL; INTRAVENOUS anesthetics; CATHETERIZATION; OXYGEN therapy equipment; ANESTHESIA; ANESTHESIA adjuvants; HYPOXEMIA; CHILDREN'S dental care; COMPARATIVE studies; FENTANYL; HYPOTENSION; KETAMINE; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; RESEARCH; SAFETY; EVALUATION research; DISCHARGE planning; RETROSPECTIVE studies; EQUIPMENT &; supplies
- Publication
Journal of Clinical Pediatric Dentistry, 2016, Vol 40, Issue 2, p156
- ISSN
1053-4628
- Publication type
journal article
- DOI
10.17796/1053-4628-40.2.156