Pain and anxiety management for pediatric dental procedures using various combinations of sedative drugs: A review
- PMID: 27330369
- PMCID: PMC4908057
- DOI: 10.1016/j.jsps.2014.04.004
Pain and anxiety management for pediatric dental procedures using various combinations of sedative drugs: A review
Abstract
For fearful and uncooperative children behavioral management techniques are used. In order to control the pain and anxiety in pedodontic patients, pharmacologic sedation, anesthesia and analgesia are commonly used. Midazolam is commonly used as an oral sedation agent in children; it has several features such as safety of use, quick onset and certain degree of amnesia that makes it a desirable sedation agent in children. This review paper discusses various aspects of oral midazolam, ketamine and their combinations in conscious sedation including, advantages of oral route of sedation, pharmacokinetics, range of oral doses, and antagonists for clinical dental treatment procedures.
Keywords: Ketamine; Oral midazolam; Pedodontics; Sedation in dentistry.
References
-
- Adamowicz P., Kala M. Urinary excretion rates of ketamine and norketamine following therapeutic ketamine administration: method and detection window considerations. J. Anal. Toxicol. 2005;29:376–382. - PubMed
-
- Adams D., Dervay K.R. Pharmacology of procedural sedation. AACN Adv. Crit. Care. 2012;23:349–354. (quiz 355–6) - PubMed
-
- Agrawal D., Manzi S.F., Gupta R., Krauss B. Preprocedural fasting state and adverse events in children undergoing procedural sedation and analgesia in a pediatric emergency department. Ann. Emerg. Med. 2003;42:636–646. - PubMed
-
- Al-Zahrani A., Wyne A., Sheta S. Comparison of oral midazolam with a combination of oral midazolam and nitrous oxide–oxygen inhalation in the effectiveness of dental sedation for young children. J. Indian Soc. Pedod. Prev. Dent. 2009;27:9–16. - PubMed
-
- Beebe D.S., Belani K.G., Chang P., Hesse P.S., Schuh J.S., Liao J., Palahniuk R.J. Effectiveness of preoperative sedation with rectal midazolam, ketamine, or their combination in young children. Anesth. Analg. 1992;75:880–884. - PubMed
Publication types
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical