J Korean Dent Soc Anesthesiol.  2012 Mar;12(1):11-16. 10.17245/jkdsa.2012.12.1.11.

Intravenous Sedation for Patients of Pediatric Dentistry in Wonkwang University Daejeon Dental Hospital

• Kim YH
• Kim MS
• O SR

• KMID: 2345055
• DOI: http://doi.org/10.17245/jkdsa.2012.12.1.11

Abstract

BACKGROUND
The purpose of this study was to evaluate the safety and effectiveness of intravenous ketamine-midazolam sedation in uncooperative children and disabled people undergoing dental procedures.
METHODS
From September 2009 to January 2012, total 114 intravenous deep sedation were carried out using midazolam and ketamine at pediatric dentistry in Wonkwang University Daejeon Dental Hospital. Patients' dental charts and sedation records were retrospectively reviewed.
RESULTS
103 cases were enrolled, divided into four groups. There were 22 children under five in group 1, 14 children over six years with severe anxiety in group 2, 34 disabled person in group 3 and 33 children over six years with surgical procedure in group 4. Carries treatment (56 cases) was the most common dental treatment. The highest ketamine usage was 4.15 mg/kg, the longest duration of dental treatment was 41.6 minutes in children under five group. Nausea and vomiting (16 cases) was the most common side effect.
CONCLUSIONS
Intravenous ketamine-midazolam sedation appears safe and effective for uncooperative children and disabled person undergoing dental procedures. But, emesis is a common side effect of ketamine occurring with increasing age.

Keyword

Intravenous sedation; Ketamine; Midazolam; Pediatric dentistry

MeSH Terms

Anxiety
Child
Deep Sedation
Disabled Persons
Humans
Ketamine
Midazolam
Nausea
Pediatric Dentistry*
Retrospective Studies
Vomiting
Ketamine
Midazolam