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EFFECT OF SUPPLEMENTARY INTRANASAL MIDAZOLAM ON ORAL SEDATION OF CHILDREN

  • Journal of the Korean academy of pediatric dentistry
  • Abbr : J Korean Acad Pediatr Dent
  • 2012, 39(1), pp.11-16
  • Publisher : The Korean Academy Of Pediatric Dentistry
  • Research Area : Medicine and Pharmacy > Dentistry

장수영 1 Jiyeon Kim 1 박기태 1

1성균관대학교

Accredited

ABSTRACT

Effect of supplementary intranasal midazolam on oral sedation of children The purpose of this study was to compare the cardiopulmonary parameters of two sedation regimens during dental treatment: (1) Oral chloral hydrate(CH) and hydroxyzine(HZ) with nitrous oxide-oxygen(N_2O/O_2) inhalation(CH-HZ group); (2) Oral chloral hydrate(CH) and hydroxyzine(HZ) with nitrous oxide-oxygen(N_2O/O_2)inhalation and supplementary intranasal(IN) midazolam administration(MIDA group). Among the patients of OO hospital who received dental treatment under sedation over the past 5 years, 44patients were selected for each group of CH-HZ and MIDA according to their age, gender and weight. Following parameters that were recorded every 5 minutes were compared: 1) Heart rate(HR) 2) O_2 saturation 3) End tidal carbon dioxide concentration(EtCO_2) 4) Respiratory rate(RR)33 patients of Group MIDA who have complete data of 15 minutes before and after supplementary IN midazolam administration were selected. And measurements 15 minutes before and after midazolam administration in same patient were evaluated. The results were as follows:1. Heart rate was significantly higher in MIDA group than in CH-HZ group, but it was within normal range. 2. Comparing HR, O_2 saturation, EtCO_2, RR between before and after of supplementary IN midazolam administration in the same patient, the differences were not statistically significant.

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