약물을 이용한 행동조절시 부가적인 아사화질소 흡입진정의 효과

ADDITIONAL EFFECTS OF NITRUOS OXIDE TO OTHER SEDATIVE DRUGS FOR BEHAVIOR MANAGEMENT.

  • 진영임 (전남대학교 치과대학 소아치과학교실) ;
  • 양규호 (전남대학교 치과대학 소아치과학교실)
  • Jean, Young-Yim (Dept. of Pediatric dentistry, College of Dentistry, Chonnam National University) ;
  • Yang, Kyu-Ho (Dept. of Pediatric dentistry, College of Dentistry, Chonnam National University)
  • 발행 : 1996.11.30

초록

Nitrous oxide has acquired widespread use as a tool for management of anxious and comprehensive pediatric dental patients. Clinical impressions have suggested that inhalation sedation with $N_2O/O_2$ reinforces the effect of other sedatives. Fifteen uncooperative children, mean age of 37months, who were regarded as fail in the first treatment using chloral hydrate-hydroxyzine orally, midazolam orally or intranasally, were sedated with the same sedatives in conjunction with $N_2O/O_2$. All the children were restrained in a pediwrap and were monitored with pulse oximeter for their heart rate and oxygen saturation. Degree of sleep, crying and movement were evaluated. The clinical results indicated that a satisfactory level of sedation was achieved in approximately two thirds of the cases (about 66 %) under those sedation manner. Complications were rare and those of treatments were successfully completed without difficulty.

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