January 2014
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29 Reads
Journal of the Korean Dental Society of Anesthesiology
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January 2014
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29 Reads
Journal of the Korean Dental Society of Anesthesiology
August 2013
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38 Reads
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2 Citations
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY
A total of 14 children who visited the department of Pediatric dentistry of Dankook University Dental Hospital from January, 2012 to May, 2012 and decided to get dental treatment under inhalation sevoflurane deep sedation, were studied to determine the effectiveness of end-tidal sevoflurane, respiratory and cardiovascular function to analyze monitoring sheets. The Heart rate (H.R) data were mean 101.4 rate/min (76.4-135.4 rate/min). The systolic blood pressure data mean were 96.9 mmHg (84.2-109.2 mmHg) and diastolic blood pressure data mean were 50.5 mmHg (34.0-62.0 mmHg). The Respiration rate (R.R) data mean were 24.4 rate/min (15.0-36.7 rate/min). The data mean were 99.4% (97.5-100.0%). The end tidal () data mean were 27.8 mmHg (16.4-38.0 mmHg). The end-tidal sevoflurane data mean were 1.9 vol% (1.0-3.4 vol%).
August 2013
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214 Reads
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23 Citations
Pediatric Emergency Care
Nitrous oxide is widely used for dental sedation. However, weak potency of nitrous oxide requires additional sedatives for maintaining a deeper level of sedation. Sevoflurane, a mainstay in pediatric anesthesia, is a potent anesthetic agent. Some attempts have been made to use sevoflurane for conscious sedation. In this case, we successfully treat pediatric patients under deep sedation by sevoflurane inhalation without other sedatives. Sevoflurane may be useful for sedation in pediatric dental outpatient setting.
February 2013
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21 Reads
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15 Citations
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY
General anesthesia or sedation is an essential for a successful dental treatment for the disabled. The aim of this study is to assess the patients who had dental management under general anesthesia or sedation at Chungnam dental clinic for the disabled, who received dental treatment under general anesthesia, sevoflurane sedation and intravenous sedation from January, 2011 to September 2012. Of the 426 patients studied, 389 patients received dental care under general anesthesia, 20 patients received dental care under sevoflurane sedation and 17 patients received dental care under intravenous sedation. The Rate of general anesthesia was higher than that of sevoflurane sedation, intravenous sedation. Sevoflurane sedation is a useful method for short time treatment such as traumatic pediatric patients. Intravenous sedation is an option for patients who had anxiety and fear such as dentally disabled patients. Sevoflurane or intravenous sedation not only gradually reduces the use of general anesthesia but also useful methods themselves for the dentally disabled.
February 2013
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111 Reads
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12 Citations
The American Journal of Emergency Medicine
Sevoflurane, a potent volatile anesthetic, has been attempted to be used for procedural sedation. Because of lack of a commercially available sedation apparatus for sevoflurane administration, anesthetic gas delivery apparatus should be connected to general anesthetic machine for delivering sevoflurane gas. In this case, deep sedation was maintained during treatment of dental injuries involving the upper lip and incisor by sevoflurane insufflations via a nasal cannula. Especially, this may be advantageous in treating dental injuries involving upper lip and maxillary anterior teeth because the treatment is not disturbed during sevoflurane insufflations via a nasal cannula.
January 2013
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84 Reads
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1 Citation
Journal of the Korean Dental Society of Anesthesiology
January 2013
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13 Reads
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1 Citation
Journal of the Korean Dental Society of Anesthesiology
August 2012
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12 Reads
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4 Citations
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY
January 2012
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14 Reads
Journal of the Korean Dental Society of Anesthesiology
January 2012
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19 Reads
Journal of the Korean Dental Society of Anesthesiology
... Premedication with intranasal DEX facilitates the sedation process in uncooperative patients, such as patients with autism [12]. Commonly used oral, intramuscular or intravenous sedation are challenging to administer, as they require the cooperation of the patient, which may be difficult if the patient has a fear of needles or minding in medications. ...
January 2012
Journal of the Korean Dental Society of Anesthesiology
... Socioeconomic advancements, along with increased demand for oral health care and medical care for the disabled, have also led to increased demand for anesthetics to treat the dentally disabled [4]. ...
January 2011
Journal of the Korean Dental Society of Anesthesiology
... Ⅱ. 연구대상 및 방법 1 (Table 7). ...
January 2012
Journal of the Korean Dental Society of Anesthesiology
... This may lead to a decrease in general condition and a higher risk of aspiration pneumonia due to dysphagia, an exaggerated change in the response to muscle relaxants, and delayed recovery of spontaneous breathing after general anesthesia, among other adverse side effects. Therefore, when considering anesthetic management in patients with ALS, careful monitoring and appropriate drug selection is necessary because the likelihood of emergency situations occurring is higher than that in healthy patients [7,8]. ...
January 2013
Journal of the Korean Dental Society of Anesthesiology
... The use of TCI can prevent adverse effects from oversedation, while controlling anxiety and pain. TCI supplies a low dose of anesthetic that can be controlled during sedation, which reduces the risk of oversedation, and is able to maintain a steady concentration of drug and a consistent level of effect with rapid onset [6][7][8]. ...
January 2013
Journal of the Korean Dental Society of Anesthesiology
... However, the dentist may consider sedation and general anesthesia when the child rejects treatment due to negative memories about dental care or severe fear, which make behavioral management impossible [1]. Therefore, the dentist must have knowledge, skill, and behavior that prepare for this possibility [2,3]. ...
August 2012
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY
... A previous study [32] reported that Eutectic Mixture of Local Anesthetics (EMLA) 5% cream (AstraZeneca, Seoul, Korea) was applied on the skin to reduce pain when first securing a venous route and then when a venous route was secured during the procedure to successfully complete the treatment [32]. ...
January 2010
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY
... 이 원충은 세포내에 기생하는 기생충으로 사람을 비롯한 각종 포유동물 및 조류 등에 널리 감염되어 있는 대표적인 인수공통 기생충 중 하나이다 (Hoffman, 2000). 인체감염에는 후 천성 감염과 선천성 감염의 두가지 경로가 있는데, 전자는 흙이나 식품 중에 섞여 있는 오오시스트의 경 구섭취에 의해서 발생하며, 어린이, 청소년기에 보통 이환되며 증상으로는 미열, 인두염, 임파종이 나타난 다 (Park, 2007). 선청성 감염에는 임산부가 감염되었 을 경우 태반감염에 의한 신생아의 기형 또는 유산이 일어날 수 있다 (Petersen, 2007). ...
January 2007
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY
... Among these methods, GA has the advantages of not relying on patient cooperation, achieving a 100% success rate, providing long-lasting effects, reducing the number of hospital visits, and expanding the treatment area [10]. ...
February 2013
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY
... The specific methods of deep sedation using sevoflurane for uncooperative children or disabled patients are as follows 57 : the respiratory mask and tract are prefilled with high concentrations of sevoflurane (8%), O 2 (4 L/min), and nitrous oxide (N 2 O) (4 L/min), and rapid deep sedation is instantly conducted via a sealed face mask. When they have reached a state of deep sedation, a nose hood or nasal cannula is used to maintain the depth of sedation. ...
August 2013
Pediatric Emergency Care