임상가를 위한 특집 1 - 흡입진정법

Inhalation sedation In Dentistry

  • 김승오 (단국대학교 치과대학 치과마취학교실)
  • Kim, Seung-Oh (Department of Dental Anesthesiology, School of Dentistry Dankook University)
  • 투고 : 2013.06.14
  • 심사 : 2013.06.25
  • 발행 : 2013.07.01

초록

Inhalation sedation has may advantageous properties that make it a suitable choice for sedation in pediatric, disabled and many patients, either alone or in conjunction with other agents. We need review of Guideline on use of nitrous oxide for dental patients that make minimizing complication of sedation for safe and effective sedation. Conventionally, nitric oxide is used for inhalation sedation, nowadays sevoflurane can also be used due to easily titratable for controllable effect and less failure of sedation. Recently sevoflurane can be used to provide sedation as a sole agent in air or oxygen or in combination with nitrous oxide in dentistry.

키워드

참고문헌

  1. Patel SS, Goa KL. Sevoflurane. A review of its pharmacodynamic and pharmacokinetic properties and its clinical use in general anaesthesia. Drugs 1996;51:658-700. https://doi.org/10.2165/00003495-199651040-00009
  2. Houpt M. Project USAP the use of sedative agents in pediatric dentistry: 1991 update. Pediatr Dent 1993;15:36-40.
  3. LM Worthington, PJ Flynn, L Strunin. Death in the dental chair: an avoidable catastrophe? British journal of Anaesthesia 1998; 80: 131?2.
  4. Doh RM, Song YG, Kim SO, et al. : Use of sevoflurane inhalation sedation for disabled outpatient dental treatment . Journal of The Korean Dental Society of Anesthesiology, 2012; 12, 2: 125-9. https://doi.org/10.17245/jkdsa.2012.12.2.125
  5. Korean Academy of Pediatric Dentistry : Sedation guideline by Edited and Published Korean Academy of Pediatric Dentistry, 2004. Oct. 25.
  6. American Academy of Pediatric Dentistry (AAPD): Guideline on use of nitrous oxide for pediatric dental patients. Chicago (IL): American Academy of Pediatric Dentistry (AAPD), 4 p. [21 references], 2009. National Guideline Clearlinghouse(http:// guideline.gov/index.aspx), NGC:007496.
  7. Lahoud GY, Averley PA.Comparison of Sevoflurane and nitrous oxide mixture with nitrous oxide alone for inhalation conscious sedation in children having dental treatment: a randomised controlled trial.Anaesthesia. 2002; 57:446?4509.
  8. Sury MR, Harker H, Thomas ML. Sevoflurane sedation in infants undergoing MRI: a preliminary report. Paediatr Anaesth 2005;15:16-22. https://doi.org/10.1111/j.1460-9592.2005.01456.x
  9. Nicola Ross, Natalie Drury: Conscious sedation with sevoflurane. ATOTW 188 19th July 2010.
  10. Duarte R, McNeill A, Drummond G, Tiplady B. Comparison of the sedative, cognitive, and analgesic effects of nitrous oxide, Sevoflurane and ethanol. Brit. J. of Anaesth.2008; 100(2): 203-10. https://doi.org/10.1093/bja/aem369
  11. Haraguchi N, Furusawa H, Takezaki R, Oi K. Inhalational Sedation with Sevoflurane. J. Oral Maxillofac. Surg. 1995; 53:24-26. https://doi.org/10.1016/0278-2391(95)90493-X
  12. Hall D, Weaver J, Ganzberg S, Rashid R, DDS, MAS, Wilson S. Bispectral EEG Index Monitoring of High-Dose Nitrous Oxide and Low-Dose Sevoflurane Sedation Anesth Prog 2002; 49:56-62.
  13. Soldani F, Manton S, Stirrups DR, Cumming C, Foley J. A comparison of inhalation sedation agents in the management of children receiving dental treatment: a randomized, controlled, crossover pilot trial. Int J Paediatr Dent. 2010 Jan;20(1):65-75.
  14. Averley PA, Girdler NM, Bond S, Steen N, Steele J. A randomised controlled trial of paediatricconscious sedation for dental treatment using intravenous midazolam combined with inhaled nitrous oxide or nitrous oxide ? Sevoflurane. Anaesthesia. 2004;59:844-852. https://doi.org/10.1111/j.1365-2044.2004.03805.x
  15. Philip JH, Myers TP, Philip BK. Inhalation Sedation/Analgesia with Sevoflurane. Letter. J. Clin. Anaesth.1997;9:608-609
  16. Kim SO, Kim JS. Review of guidelines of sedation and Need of credentials recommeded to administer deep sedation. J Korean Acad Pediatr Dent 2012; 39(3) 2012