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
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Midazolam
/
Sedação Consciente
/
Assistência Odontológica para a Pessoa com Deficiência
/
Hipnóticos e Sedativos
/
Deficiência Intelectual
Limite:
Adolescente
/
Criança
/
Criança, pré-escolar
/
Humanos
Idioma:
Inglês
Revista:
Braz. j. oral sci
Assunto da revista:
Odontologia
Ano de publicação:
2010
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade Estadual Paulista/BR
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