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Use of Ketamine Hydrochloride for Pediatric Dental Patient at General Hospital

  • Journal of the Korean academy of pediatric dentistry
  • Abbr : J Korean Acad Pediatr Dent
  • 2015, 42(1), pp.38-44
  • DOI : 10.5933/JKAPD.2015.42.1.38
  • Publisher : The Korean Academy Of Pediatric Dentistry
  • Research Area : Medicine and Pharmacy > Dentistry

차윤선 1 Ji Hun Kim 2

1연세대학교 원주 세브란스 기독병원 소아치과
2연세대학교

Accredited

ABSTRACT

Children commonly experience orofacial injuries and often need emergency treatment. Due to fear and anxiety,children tend to be uncooperative in emergency rooms. Ketamine hydrochloride is a well-known sedative agentat medical-based emergency rooms which has been used for procedural sedation. In this paper, we will discussthe sedation of uncooperative young patients, who needed dental treatments in the emergency room at WonjuSeverance Christian Hospital, using ketamine. We collected the records of patients under 18-years-old whovisited the emergency room for dental treatment from January 2010 to May 2014. The data was categorized byage, sex, required dental treatments and application of ketamine sedation. Among 659 pediatric patients whovisited for emergency dental treatments, 118 patients were treated under sedation using ketamine. Majority ofpatients were under the age of 6 (110 patients), and the most frequent cause of sedation was suture of orallaceration (105 patients). Though ketamine should not be used by dentists alone, dentists in emergency roomscan easily meet the patients under deep sedation using ketamine. Hence, dentists in emergency rooms need tobe aware of the clinical effects, considerations, and potential adverse effects of ketamine.

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