Tags

Type your tag names separated by a space and hit enter

Children sedated for dental care: a pilot study of the 24-hour postsedation period.
Pediatr Dent 2006 May-Jun; 28(3):260-4PD

Abstract

PURPOSE

The purpose of this prospective, pilot study was to investigate postsedation events during the first 24 hours after discharge from the treatment facility in children sedated for dental treatment.

METHODS

This prospective study involved a convenience sample of 30 healthy patients, ranging from 2 to 5 years of age, who were scheduled to undergo sedation in the dental clinic for operative procedures. Depending on the extent of dental need, child temperament, and other preoperative assessment variables, the children received either a triple combination of chloral hydrate, meperidine, and hydroxyzine ranging in dose from 20 to 30 mg/kg, 1 to 2 mg/kg, 1 to 2 mg/kg, respectively, or midazolam alone (0.5-0.75 mg/kg). Care was provided consistent with the American Academy of Pediatric Dentistry (AAPD) and hospital sedation guidelines. Parents were given a questionnaire concerning events that may occur during the 24 hours after the sedation and were told they would be interviewed via telephone regarding these events. The principal investigator called 24 hours after the sedation visit and interviewed the parents using the questionnaire given to the parents. Data analysis included descriptive statistics, frequency, and chi-square analysis.

RESULTS

Data from 30 sedations were used. Differences were noted between a chloral hydrate, meperidine, and hydroxyzine regimen compared to midazolam alone for incidence of sleep on the way home or shortly after arriving at home, but not for postoperative pain, vomiting, eating, evening sleep, and memory. Those receiving the combination regimen were more likely to sleep on the way to and at home than those who received midazolam alone.

CONCLUSIONS

It may be concluded that: (1) opportunities for the occurrence of an adverse event may occur on the way or at home following a sedation appointment; and (2) discharge criteria of the AAPD guidelines on elective use of minimal, moderate, or deep sedation and general anesthesia for pediatric dental patients should be met or exceeded as a precautionary measure to prevent adverse events once a child who has received sedative agents leaves a health care facility.

Authors+Show Affiliations

Division of Pediatric Dentistry, Cincinnati Children's Hospital Medical Center, Ohio, USA.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16805359

Citation

Martinez, David, and Stephen Wilson. "Children Sedated for Dental Care: a Pilot Study of the 24-hour Postsedation Period." Pediatric Dentistry, vol. 28, no. 3, 2006, pp. 260-4.
Martinez D, Wilson S. Children sedated for dental care: a pilot study of the 24-hour postsedation period. Pediatr Dent. 2006;28(3):260-4.
Martinez, D., & Wilson, S. (2006). Children sedated for dental care: a pilot study of the 24-hour postsedation period. Pediatric Dentistry, 28(3), pp. 260-4.
Martinez D, Wilson S. Children Sedated for Dental Care: a Pilot Study of the 24-hour Postsedation Period. Pediatr Dent. 2006;28(3):260-4. PubMed PMID: 16805359.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Children sedated for dental care: a pilot study of the 24-hour postsedation period. AU - Martinez,David, AU - Wilson,Stephen, PY - 2006/6/30/pubmed PY - 2006/8/2/medline PY - 2006/6/30/entrez SP - 260 EP - 4 JF - Pediatric dentistry JO - Pediatr Dent VL - 28 IS - 3 N2 - PURPOSE: The purpose of this prospective, pilot study was to investigate postsedation events during the first 24 hours after discharge from the treatment facility in children sedated for dental treatment. METHODS: This prospective study involved a convenience sample of 30 healthy patients, ranging from 2 to 5 years of age, who were scheduled to undergo sedation in the dental clinic for operative procedures. Depending on the extent of dental need, child temperament, and other preoperative assessment variables, the children received either a triple combination of chloral hydrate, meperidine, and hydroxyzine ranging in dose from 20 to 30 mg/kg, 1 to 2 mg/kg, 1 to 2 mg/kg, respectively, or midazolam alone (0.5-0.75 mg/kg). Care was provided consistent with the American Academy of Pediatric Dentistry (AAPD) and hospital sedation guidelines. Parents were given a questionnaire concerning events that may occur during the 24 hours after the sedation and were told they would be interviewed via telephone regarding these events. The principal investigator called 24 hours after the sedation visit and interviewed the parents using the questionnaire given to the parents. Data analysis included descriptive statistics, frequency, and chi-square analysis. RESULTS: Data from 30 sedations were used. Differences were noted between a chloral hydrate, meperidine, and hydroxyzine regimen compared to midazolam alone for incidence of sleep on the way home or shortly after arriving at home, but not for postoperative pain, vomiting, eating, evening sleep, and memory. Those receiving the combination regimen were more likely to sleep on the way to and at home than those who received midazolam alone. CONCLUSIONS: It may be concluded that: (1) opportunities for the occurrence of an adverse event may occur on the way or at home following a sedation appointment; and (2) discharge criteria of the AAPD guidelines on elective use of minimal, moderate, or deep sedation and general anesthesia for pediatric dental patients should be met or exceeded as a precautionary measure to prevent adverse events once a child who has received sedative agents leaves a health care facility. SN - 0164-1263 UR - https://www.unboundmedicine.com/medline/citation/16805359/Children_sedated_for_dental_care:_a_pilot_study_of_the_24_hour_postsedation_period_ L2 - https://www.ingentaconnect.com/openurl?genre=article&issn=0164-1263&volume=28&issue=3&spage=260&aulast=Martinez DB - PRIME DP - Unbound Medicine ER -