Initial experience with dexmedetomidine for dental sedation in children
Sedation of uncooperative children for dental treatment is difficult since treatment is mainly carried out inside the oral cavity. Dexmedetomidine (DEX), recently introduced into clinical practice, has little influence on respiratory system even at high doses. We present cases of patients who underw...
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| Veröffentlicht in: | The Journal of clinical pediatric dentistry 2013, Vol.38 (1), p.79-82 |
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| container_end_page | 82 |
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| container_issue | 1 |
| container_start_page | 79 |
| container_title | The Journal of clinical pediatric dentistry |
| container_volume | 38 |
| creator | Kim, Hyo Sun Kim, Jung-Wook Jang, Ki-Taeg Lee, Sang-Hoon Kim, Chong-Chul Shin, Teo Jeon |
| description | Sedation of uncooperative children for dental treatment is difficult since treatment is mainly carried out inside the oral cavity. Dexmedetomidine (DEX), recently introduced into clinical practice, has little influence on respiratory system even at high doses. We present cases of patients who underwent dental treatment under sedation using DEX infusion. DEX at a dose of 1 microg/kg was administered over 10 min after intravenous cannulation. DEX was infused to maintain sedation level within the range of the Observer's Assessment of Alertness and Sedation (OAA/S) scale 3- 4 throughout dental treatments. They were successfully treated under DEX sedation without any complications. Their uncooperative behaviors were successfully managed under DEX sedation. |
| doi_str_mv | 10.17796/jcpd.38.1.w86t8k7r51k72617 |
| format | Article |
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Dexmedetomidine (DEX), recently introduced into clinical practice, has little influence on respiratory system even at high doses. We present cases of patients who underwent dental treatment under sedation using DEX infusion. DEX at a dose of 1 microg/kg was administered over 10 min after intravenous cannulation. DEX was infused to maintain sedation level within the range of the Observer's Assessment of Alertness and Sedation (OAA/S) scale 3- 4 throughout dental treatments. They were successfully treated under DEX sedation without any complications. Their uncooperative behaviors were successfully managed under DEX sedation.</description><identifier>ISSN: 1053-4628</identifier><identifier>EISSN: 1557-5268</identifier><identifier>DOI: 10.17796/jcpd.38.1.w86t8k7r51k72617</identifier><identifier>PMID: 24579289</identifier><language>eng</language><publisher>United States</publisher><subject>Anesthesia Recovery Period ; Blood Pressure - drug effects ; Child ; Child Behavior - drug effects ; Child, Preschool ; Deep Sedation - methods ; Dental Care for Children - methods ; Dentistry ; Dexmedetomidine - administration & dosage ; Dexmedetomidine - pharmacology ; Female ; Heart Rate - drug effects ; Humans ; Hypnotics and Sedatives - administration & dosage ; Hypnotics and Sedatives - pharmacology ; Infusions, Intravenous ; Male ; Respiratory Rate - drug effects</subject><ispartof>The Journal of clinical pediatric dentistry, 2013, Vol.38 (1), p.79-82</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c236t-d317928fb218d7fdc384516c332eb5f0cd7ad18dd295bc35780df2d47ca1f91b3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24579289$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Hyo Sun</creatorcontrib><creatorcontrib>Kim, Jung-Wook</creatorcontrib><creatorcontrib>Jang, Ki-Taeg</creatorcontrib><creatorcontrib>Lee, Sang-Hoon</creatorcontrib><creatorcontrib>Kim, Chong-Chul</creatorcontrib><creatorcontrib>Shin, Teo Jeon</creatorcontrib><title>Initial experience with dexmedetomidine for dental sedation in children</title><title>The Journal of clinical pediatric dentistry</title><addtitle>J Clin Pediatr Dent</addtitle><description>Sedation of uncooperative children for dental treatment is difficult since treatment is mainly carried out inside the oral cavity. Dexmedetomidine (DEX), recently introduced into clinical practice, has little influence on respiratory system even at high doses. We present cases of patients who underwent dental treatment under sedation using DEX infusion. DEX at a dose of 1 microg/kg was administered over 10 min after intravenous cannulation. DEX was infused to maintain sedation level within the range of the Observer's Assessment of Alertness and Sedation (OAA/S) scale 3- 4 throughout dental treatments. They were successfully treated under DEX sedation without any complications. Their uncooperative behaviors were successfully managed under DEX sedation.</description><subject>Anesthesia Recovery Period</subject><subject>Blood Pressure - drug effects</subject><subject>Child</subject><subject>Child Behavior - drug effects</subject><subject>Child, Preschool</subject><subject>Deep Sedation - methods</subject><subject>Dental Care for Children - methods</subject><subject>Dentistry</subject><subject>Dexmedetomidine - administration & dosage</subject><subject>Dexmedetomidine - pharmacology</subject><subject>Female</subject><subject>Heart Rate - drug effects</subject><subject>Humans</subject><subject>Hypnotics and Sedatives - administration & dosage</subject><subject>Hypnotics and Sedatives - pharmacology</subject><subject>Infusions, Intravenous</subject><subject>Male</subject><subject>Respiratory Rate - drug effects</subject><issn>1053-4628</issn><issn>1557-5268</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkEtLw0AUhQdRbK3-BQm4cZM4j8wjuJKitVBwo-shmQedNpnUmSmt_97UVheu7uWec-6BD4A7BAvEecUeVmqjCyIKVOwES2LNA0VrjhniZ2CMKOU5xUycDzukJC8ZFiNwFeMKQiiYgJdghEvKKyyqMZjNvUuubjOz35jgjFcm27m0zLTZd0ab1HdOO28y24fh5tNgjUbXyfU-cz5TS9fqYPw1uLB1G83NaU7Ax8vz-_Q1X7zN5tOnRa4wYSnXBB2KbYOR0NxqRURJEVOEYNNQC5XmtR4kjSvaKEK5gNpiXXJVI1uhhkzA_fHvJvSfWxOT7FxUpm1rb_ptlIjCEpUVrfBgfTxaVehjDMbKTXBdHb4kgvKHpDyQlERIJP-THNK3p6JtM4D4y_6iI98DpHPA</recordid><startdate>2013</startdate><enddate>2013</enddate><creator>Kim, Hyo Sun</creator><creator>Kim, Jung-Wook</creator><creator>Jang, Ki-Taeg</creator><creator>Lee, Sang-Hoon</creator><creator>Kim, Chong-Chul</creator><creator>Shin, Teo Jeon</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2013</creationdate><title>Initial experience with dexmedetomidine for dental sedation in children</title><author>Kim, Hyo Sun ; Kim, Jung-Wook ; Jang, Ki-Taeg ; Lee, Sang-Hoon ; Kim, Chong-Chul ; Shin, Teo Jeon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c236t-d317928fb218d7fdc384516c332eb5f0cd7ad18dd295bc35780df2d47ca1f91b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Anesthesia Recovery Period</topic><topic>Blood Pressure - drug effects</topic><topic>Child</topic><topic>Child Behavior - drug effects</topic><topic>Child, Preschool</topic><topic>Deep Sedation - methods</topic><topic>Dental Care for Children - methods</topic><topic>Dentistry</topic><topic>Dexmedetomidine - administration & dosage</topic><topic>Dexmedetomidine - pharmacology</topic><topic>Female</topic><topic>Heart Rate - drug effects</topic><topic>Humans</topic><topic>Hypnotics and Sedatives - administration & dosage</topic><topic>Hypnotics and Sedatives - pharmacology</topic><topic>Infusions, Intravenous</topic><topic>Male</topic><topic>Respiratory Rate - drug effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Hyo Sun</creatorcontrib><creatorcontrib>Kim, Jung-Wook</creatorcontrib><creatorcontrib>Jang, Ki-Taeg</creatorcontrib><creatorcontrib>Lee, Sang-Hoon</creatorcontrib><creatorcontrib>Kim, Chong-Chul</creatorcontrib><creatorcontrib>Shin, Teo Jeon</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of clinical pediatric dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Hyo Sun</au><au>Kim, Jung-Wook</au><au>Jang, Ki-Taeg</au><au>Lee, Sang-Hoon</au><au>Kim, Chong-Chul</au><au>Shin, Teo Jeon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Initial experience with dexmedetomidine for dental sedation in children</atitle><jtitle>The Journal of clinical pediatric dentistry</jtitle><addtitle>J Clin Pediatr Dent</addtitle><date>2013</date><risdate>2013</risdate><volume>38</volume><issue>1</issue><spage>79</spage><epage>82</epage><pages>79-82</pages><issn>1053-4628</issn><eissn>1557-5268</eissn><abstract>Sedation of uncooperative children for dental treatment is difficult since treatment is mainly carried out inside the oral cavity. Dexmedetomidine (DEX), recently introduced into clinical practice, has little influence on respiratory system even at high doses. We present cases of patients who underwent dental treatment under sedation using DEX infusion. DEX at a dose of 1 microg/kg was administered over 10 min after intravenous cannulation. DEX was infused to maintain sedation level within the range of the Observer's Assessment of Alertness and Sedation (OAA/S) scale 3- 4 throughout dental treatments. They were successfully treated under DEX sedation without any complications. Their uncooperative behaviors were successfully managed under DEX sedation.</abstract><cop>United States</cop><pmid>24579289</pmid><doi>10.17796/jcpd.38.1.w86t8k7r51k72617</doi><tpages>4</tpages></addata></record> |
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| subjects | Anesthesia Recovery Period Blood Pressure - drug effects Child Child Behavior - drug effects Child, Preschool Deep Sedation - methods Dental Care for Children - methods Dentistry Dexmedetomidine - administration & dosage Dexmedetomidine - pharmacology Female Heart Rate - drug effects Humans Hypnotics and Sedatives - administration & dosage Hypnotics and Sedatives - pharmacology Infusions, Intravenous Male Respiratory Rate - drug effects |
| title | Initial experience with dexmedetomidine for dental sedation in children |
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