Conscious sedation in the 21st century

Most (99%) patients treated at this university clinic do not need any form of sedation as rapport and behavioral management skills are more than sufficient and are safe. Those aged 1 to 5 years, who needed the use of oral sedation (Midazolam), showed 70% success. Those who needed nitrous oxide / oxygen ranged in age from 8 to 18 years and were later treated without any sort of conscious sedation after one or two sessions of nitrous oxide / oxygen sedation.

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A review of the safety of 50% nitrous oxide/oxygen in conscious sedation

Expert Opinion on Drug Safety ◽

10.1517/14740338.6.5.559 ◽

2007 ◽

Vol 6 (5) ◽

pp. 559-571 ◽

Cited By ~ 24

Author(s):

Valérie Collado ◽

Emmanuel Nicolas ◽

Denise Faulks ◽

Martine Hennequin

Keyword(s):

Nitrous Oxide ◽

Conscious Sedation ◽

Nitrous Oxide Oxygen

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Nitrous oxide oxygen inhalation conscious sedation- A new ambit

Journal of Dental Specialities ◽

10.18231/2393-9834.2018.0023 ◽

2019 ◽

Vol 6 (2) ◽

pp. 90-91

Author(s):

Vinod Sachdev

Keyword(s):

Nitrous Oxide ◽

Conscious Sedation ◽

Oxygen Inhalation ◽

Nitrous Oxide Oxygen

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Premedication Intake Behavior - Does It Predict Behavior During Dental Treatment?

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.36.4.b43381j014772q00 ◽

2012 ◽

Vol 36 (4) ◽

pp. 389-392

Author(s):

E Davidovich ◽

S Naser ◽

J Shapira ◽

D Ram

Keyword(s):

Nitrous Oxide ◽

Conscious Sedation ◽

Dental Treatment ◽

Age Groups ◽

Predictive Tool ◽

Nitrous Oxide Oxygen ◽

Oral Premedication ◽

And Behavior ◽

Influence Behavior ◽

Two Age Groups

Objectives: to investigate whether behavior during hydroxyzine administration predicts children's behavior during dental treatment and whether behavior during treatment is affected by the complexity of treatment. Materials and method: 118 children aged 2 to 6.5 years old were treated under conscious sedation with oral premedication (3.7 mg/kg of hydroxyzine in a concentration of 50mg/5 cc. hydroxyzine) and 50% nitrous oxide/oxygen sedation. Children were divided in two age groups: aged 2 to ≤ 4 years old, and aged 4 ≯ to 6 years old. Behavior during first examination; cooperation during premedication administration, cooperation during nitrous oxide nose-mask placement, behavior during dental treatment, treatment duration and complexity of treatment were recorded. Results: More children in the older group took the premedication willingly (p=0.026). Significant correlation (p=0.002) between behavior during examination and nitrous oxide mask acceptance was found in the older age group. No correlation was found regarding the cooperation during premedication intake and behavior during treatment within and between age groups. No statistical differences within the groups and between the groups were found between complexity of treatment and behavior during treatment. Conclusions: Premedication intake is not a reliable predictive tool for behavior during treatment in children aged 2-6.5 years. Complexity of treatment does not influence behavior during treatment in children aged 2-6.5 years.

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