Intravenous procedural sedation: an alternative in the treatment of patients with intellectual disability
Braz. j. oral sci
;
9(1): 7-10, Jan.-Mar. 2010. tab, graf
Article
in English
| LILACS, BBO
| ID: lil-578038
ABSTRACT
Conscious sedation has become established as an important alternative to general anesthesia (GA) in dental treatment of patients with intellectual disability (ID). Aim: to investigate dental patients undergoing sedation using a mean dose of 0.6 mg/kg intravenous midazolam and the adverse events of sedation in patients with ID. Methods: This study analyzed the records of 163 dental patients with ID aged between 2 and 76 years who had undergone conscious intravenous sedation (CIV) using a mean dose of 0.61 mg/kg of midazolam at Araçatuba Dental School, São Paulo State University, Brazil. The efficacy and complications induced by CIV were evaluated in each subject. Results: CIV was effective for dental treatment in 80% of the cases. A total of 626 dental procedures were performed. The mean treatment time was 33.9 minutes. There was statistically significant difference (p<0.05) between absence and presence of adverse reactions. Adverse reactions were observed in 21.47% of the cases. Conclusions: The results of this study showed that CIV is a useful method for dental treatment of patients with ID and these patients can need higher doses of sedative to reach an adequate level of sedation.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Midazolam
/
Conscious Sedation
/
Dental Care for Disabled
/
Hypnotics and Sedatives
/
Intellectual Disability
Limits:
Adolescent
/
Child
/
Child, preschool
/
Humans
Language:
English
Journal:
Braz. j. oral sci
Journal subject:
Dentistry
Year:
2010
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Estadual Paulista/BR
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