Download or read book Effectiveness and Complications of Sedation Regimens Used for Pediatric Dental Patients written by Rachel Callie Gentz and published by . This book was released on 2015 with total page 73 pages. Available in PDF, EPUB and Kindle. Book excerpt: Data was available for a total of 701 sedation appointments. Practitioner rating of effectiveness for all sedation regimens combined is as follows: Effective (54.11%), somewhat effective (28.89%), ineffective (16.57%), and overly sedated (0.44%). Oral midazolam was the regimen most often rated as either effective or somewhat effective (88.8%). Most components of the medical history and physical examination were not significantly associated with sedation outcome or complications. However, increased weight of the patient and obesity both were significantly associated with lower dosages given of both oral and nasal midazolam. This study showed that practitioners rate the majority of oral and nasal sedation appointments as effective for the most common sedation regimens used at NCH. This suggests that conscious sedation is a useful clinical adjunct for patients who require advanced behavior guidance techniques.
Download or read book An Assessment of the Effectiveness of Two Drug Regimens for Oral Sedation in Pediatric Dental Patients written by Deirdre Rose Sams and published by . This book was released on 1991 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Oral Sedation for Dental Procedures in Children written by Stephen Wilson and published by Springer. This book was released on 2015-07-21 with total page 229 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first book devoted to the oral sedation of children in the dental office in order to facilitate their dental care. Written by well-respected and recognized leaders, educators, clinicians and researchers in the field of sedation, it reflects the latest evidenced-based practice and clinical expertise, provides guidance and offers an abundance of consistent and helpful tips. The book is structured to cover the various key elements that must be considered when attempting to provide safe sedation for children undergoing dental procedures. Topics addressed include, among others, patient assessment, drug selection, protocol steps, emergency management, and the most up-to-date guidelines. The contents of each chapter are focused to match the specific concerns associated with the pediatric patient.
Download or read book Midazolam in Pediatric Dentistry written by Ashwin Rao and published by Springer Nature. This book was released on with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Conscious Sedation Emerging trends in Pediatric Dentistry written by Dr. Meenakshi Upadhyay and published by Sankalp Publication. This book was released on with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Assessing Sedation Using Patient centered Outcomes written by Kristin D. Sweeney and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this project was to evaluate pediatric dental sedation success using patient-centered outcomes for behavior, safety, and treatment. A cross-sectional retrospective cohort study used electronic health record data of children ages 24-60 months undergoing first-time sedations for dental treatment (2015-2020) at Nationwide Children’s Hospital, Columbus, OH. Outcomes were measured: behavior success was overall-visit Frankl score 3-4; safety success was maintenance of vital signs within 2 standard deviations of age- and gender-based norms; treatment success was completion of planned dental treatment. Overall success was defined as success in 2 of the 3 measures. Descriptive statistics and bivariate analyses compared medication regimens. Of 824 subjects (52.3% female, median age 36 months), behavior success was 49.0%, safety success was 79.5%, and treatment success was 62.1%. Overall success was 69.3%. Number of medications (excluding nitrous oxide) did not affect overall success (1 medication: 68.5%; ≥2 medications (e.g. midazolam+hydroxyzine): 75.6%, P=0.17). Subjects receiving intranasal midazolam (n=543) had lower overall success (66.5% versus 74.1%, respectively, P=0.05) and treatment success rates (63.2% versus 58.2%, P=0.23) than oral (n=189), although differences were not significant. However, behavior success and safety success were significantly different for intranasal versus oral administration (44.6% versus 59.8%, P
Download or read book Sedation in Pediatric Dentistry written by Smriti Karmakar and published by FSP Media Publications. This book was released on 2018-08-04 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive overview of sedation techniques in pediatric dentistry is presented in the book with one chapter dedicated to special care dentistry.
Download or read book Pediatric Procedural Sedation Outcomes Using Midazolam and Hydroxyzine with and Without Meperidine written by Kathie H. Wang and published by . This book was released on 2020 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Procedural sedation is an advanced pharmacological behavior guidance technique frequently used in the pediatric dental setting. It can be offered as an option for dental treatment for a young, potentially uncooperative pediatric patient to safely and effectively complete dental restorative needs. However, there are no standard regimens or drug dosages used among pediatric dentists, and sedation outcomes vary widely. Purpose: The primary objective of this randomized trial was to assess the effects of oral sedation using midazolam and hydroxyzine with and without meperidine on sedation outcomes in pediatric dental patients. The relationship between child temperament and sedation outcomes was also assessed. Methods: This pilot study recruited 14 children between the ages of 3-7 who met study eligibility criteria and were planned to undergo dental treatment with oral sedation at the University of Washington Center for Pediatric Dentistry. The children were randomly assigned to receive a regimen of midazolam and hydroxyzine with or without meperidine. Parents completed the Child Behavior Questionnaire Short Form (CBQ-SF) to assess temperament. Results: Out of 14 participants, there were no significant differences in sedation outcome in regard to age, sex, insurance status, sedation regimen, isolation method, treatment complexity, and procedure. There were also no significant differences in the effect of child temperament on overall sedation outcome, although within the non-narcotic regimen children with sedation failures displayed higher levels of both effortful control and extraversion/surgency. Conclusion: Further data collection is needed to assess the effect of procedure variables and child temperament on sedation outcomes. Conclusions regarding these relationships cannot be drawn at this time due to the small sample size. However, results from this study will contribute to identification of best practices when choosing a sedation regimen and improve our ability to identify optimal candidates for pediatric procedural sedation.
Download or read book Sedation E Book written by Stanley F. Malamed and published by Elsevier Health Sciences. This book was released on 2017-05-03 with total page 632 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn how to safely sedate your dental patients and help control their anxiety with Sedation: A Guide to Patient Management, 6th Edition. Written by sedation expert Stanley Malamed, DDS, this concise guide combines essential theory with "how-to" technical instruction to help you master basic techniques in dental sedation and anxiety control. This new sixth edition also incorporates the latest guidelines from the ADA and the American Society of Anesthesiologists, along with vivid images of the most current equipment and procedures used in dental practice today. There is also detailed discussion on how to modify typical treatment protocol to successfully treat different patient populations — including pediatric, geriatric, physically compromised, and medically compromised patients. In all, this is a must-have guide for keeping up to date on the latest techniques in dental sedation and anxiety. The latest practice guidelines established by the ADA and the American Society of Anesthesiologists for sedation by non-anesthesiologists are included throughout the text. Comprehensive coverage combines all aspects of sedation with essential theory and instruction to cover all the information needed to provide safe and effective dental care. Expert authorship from Stanley Malamed, DDS, provides readers with experienced guidance across all areas of sedation dentistry and local anesthesia. Summary tables and boxes support visual learners and serve as useful review and study tools. Coverage of all potential patient groups details how to manage the pain and anxiety of pediatric, geriatric, physically compromised, and medically compromised patients in addition to the subtle changes that may be needed in normal treatment protocol. NEW! Extensive content revisions incorporate the most up-to-date information on the advances in sedation dentistry including the latest research, clinical experience, and literature. NEW! Updated photos and art reflect the latest equipment and procedures used in dental practice today.
Download or read book Pediatric Sedation Outside of the Operating Room written by Keira P. Mason, MD and published by Springer Nature. This book was released on 2021-04-13 with total page 899 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book functions as an essential guide to the safe and effective sedation of pediatric patients outside the operating room. It is a multidisciplinary reference that features an international authorship and is also of use for a broad range of specialists who deliver pediatric sedation in the non-OR setting. Organized into four parts, Pediatric Sedation Outside of the Operating Room 3rd edition, begins with the foundational history of the pediatric sedation field. Subsequent chapters explore the basics of procedural sedation, pre-sedation assessments, and sedation policies across various specialties and continents. Part two then examines a multitude of sedation models divided by geographical location and subspecialty. Following this, Part three delves into standards of safety in sedation, including medicolegal risk factors, neurocognitive side effects, and aspiration risks. The book closes with chapters presenting discussions on the future of sedation, insofar as predictions for the role of simulation, medical malpractice, and the intersection of sedation and marijuana. An updated invaluable successor edition, Pediatric Sedation Outside of the Operating Room 3rd edition is accessible to a diverse group of sedation providers from all specialties. This textbook is an invaluable and necessary addition to all sedation providers worldwide.
Download or read book Nitrous Oxide in Pediatric Dentistry written by Kunal Gupta and published by Springer Nature. This book was released on 2019-12-04 with total page 323 pages. Available in PDF, EPUB and Kindle. Book excerpt: This clinical handbook is a complete guide to the use of nitrous oxide when performing dental procedures in children. Nitrous oxide offers the easiest and safest form of pharmacological behavior management in this age group and can help greatly in reducing fear and anxiety toward dentists and dental treatment. Importantly, its use in children differs from that in adults, owing in part to the need for appropriate behavior management skills. In considering a range of clinical scenarios in which nitrous oxide is of value, this book will support clinicians in their daily practice. All aspects are covered, including rationale, basic science, mechanism of action, equipment, scavenging systems, technique, monitoring, safety, toxicity, documentation, and team building. Guidance is also provided on the use of nitrous oxide in special pediatric populations requiring oral health care. The book is supplemented by videos that will help readers to comprehend the text easily and to perform the technique efficiently and effectively.
Download or read book Anesthesia Outside of the Operating Room written by Richard Urman and published by Oxford University Press. This book was released on 2011-03-07 with total page 379 pages. Available in PDF, EPUB and Kindle. Book excerpt: Anesthesia Outside of the Operating Room is a comprehensive, up-to-date textbook that covers all aspects of anesthesia care in OOR settings, from financial considerations to anesthetic techniques to quality assurance. With increasing numbers of procedures such as cardiac catheterization and imaging taking place outside of the main OR, anesthesia providers as well as non-anesthesia members of the patient care team will find this book critical to their understanding of the principles of anesthesia care in unique settings which may have limited physical resources. Topics include patient monitoring techniques, pre-procedure evaluation and post-procedure care, and procedural sedation performed by non-anesthesia providers. The authors address problems of anesthesia that have unique answers in OOR settings, such as patient transport and cardiac arrest, and discuss technological progress and considerations for the future. The text also covers surgical procedures and anesthetic considerations by procedure location, such as radiology, infertility clinics, field and military environments, and pediatric settings, among many others Select guidelines from the American Society of Anesthesiologists (ASA) are provided as well. Edited by the senior faculty from Harvard Medical School and with contributions from other academic institutions, Anesthesia Outside of the Operating Room provides a unique and convenient compendium of expertise and experience.
Download or read book Pediatric Sedation Outside of the Operating Room written by Keira P. Mason and published by Springer. This book was released on 2014-10-11 with total page 749 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a major revision, updating, and expansion of the leading single-source volume on pediatric sedation outside of the operating room. Edited and written by an international roster of outstanding experts, it is the only book aimed at the broad range of specialists who deliver pediatric sedation in the non-OR setting. The Second Edition features a significant expansion of contributions from international leaders and individual new chapters on pre-sedation assessment; sedatives’ short- and long-term effects on neurocognition; non-pharmacologic distractions; Michael Jackson’s death and medical ethics; the role of simulation in safety and training; and palliative sedation in terminally ill children. The specialty-specific chapters continue to be geared toward all sedation providers, regardless of where they practice and patient safety is again emphasized. Fundamental chapters provide in-depth reviews of topics which include, among others, physiology and pharmacology. The book presents the latest guidelines across the specialties, both in the United States and abroad and noteworthy, ongoing research endeavors. From reviews of the First Edition: “This meritorious volume is a splendid collection of materials from highly experienced authors...I will make extensive use of this reference as the academic medical center in which I work continues to build sedation practices and assess credentialing/privileging aspects for professionals of all fields.” —Joseph R. Tobin, MD in Journal of the American Medical Association. “Brings together sedation practice from a broad range of specialties into one well-written pediatric text...I will certainly be using this book as a reference text in the future.” — Pediatric Anesthesia. “The first [text] directed at all specialists that treat children who require some sedation...also recognizes the contributions to pediatric sedation of many international societies and governmental organizations...It should be on the shelves of all office-based practices.” —Journal of Neurosurgical Anesthesiology. "With the ever-increasing opportunities to perform various investigations and therapeutic procedures, combined with increasing demands and expectations from children and their parents, the need and demand for safe and effective sedation of paediatric patients outside the operating room is increasing. Against this background, the second edition of ‘Pediatric Sedation Outside the Operating Room’ is a very timely addition to the anaesthesia literature."—British Journal of Anesthesia
Download or read book Avoiding and Treating Dental Complications written by Deborah A. Termeie and published by John Wiley & Sons. This book was released on 2016-06-13 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: Complications from dental procedures are inevitable and encountered by all dental professionals. Avoiding and Treating Dental Complications: Best Practices in Dentistry is designed to address proper management of these situations in everyday practice. Covers a range of dental issues and complications found in daily practice Written by experts in each specialty Features tables and charts for quick information Includes clinical photographs and radiographs
Download or read book A Comparison of Moderate Oral Sedation Drug Regimens for Pediatric Dental Treatment written by Ojas A. Parikh and published by . This book was released on 2017 with total page 33 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: Compare moderate oral sedation of pediatric patients using Hydroxyzine and Meperidine with either Diazepam or Midazolam in management of pediatric dental patients. Methods: Randomized, double-blind, crossover pilot study of patients 3 to 7 years of age requiring two sedation visits. Frankl and Houpt behavior scores recorded at injection time, initiation of treatment and 100% oxygen at end of treatment. Postoperative phone call surveys conducted within eight hours and within 24 hours of discharge. Wilcoxon Signed-Rank tests, Fisher's Exact Chi-squared test and 0.10 significance level. Results: 25 subjects completed 35 sedations. Eight participants completed both treatments and demonstrated significantly higher total Houpt Scores with Diazepam at all treatment stages. Frankl scores favored Diazepam at injection time. More abnormal behavior was found with Midazolam, less memory of the visit with Diazepam, but longer sleep time with Diazepam. Conclusions: Sedation with the Hydroxyzine, Meperidine and Diazepam regimen may allow for a better overall sedation experience. Postoperative monitoring is essential. The results are promising and demonstrate the value of a larger study on sedation with Diazepam.
Download or read book Comparison of Triple Combination Oral Sedation Regimens for Pediatric Dental Treatment written by Brett Henderson and published by . This book was released on 2019 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: Compare the efficacy of two benzodiazepines (diazepam or midazolam) in combination with meperidine and hydroxyzine for pediatric dental sedation. Methods: A randomized, double blind observation study of behaviors and outcomes related to two sedation groups. Frankl and Houpt behavior scores were recorded at three time points: injection time, initiation of treatment and at the end of treatment. Postoperative phone call surveys were conducted within eight hours of discharge to assess sleep, activity, and behavior. Results: A total of 40 sedation subjects were included in the study, of which 20 were treated with diazepam triple Combination (Di+M+H) and 20 with midazolam triple regime (Mi+M+H). Treatment was successful for 45% of cases with midazolam and 70% with diazepam (P value=.20). Houpt sleep scores were significantly higher for diazepam than midazolam at injection (P-value=.0043) and during treatment (P-value=.0152). Although Frankl scores, Houpt move and Houpt cry scores tended to favor diazepam, none were statistically significantly different. More abnormal behavior was reported with midazolam, though not statistically significant (35% vs 6%, P-value=.0854). Postoperative sleep time was longer for midazolam, but not significantly different (median sleep time: 61 vs 45 minutes, P-value=.2071). Conclusion: The diazepam, meperidine, hydroxyzine triple combination sedation regimen shows promising results as a successful alternative to midazolam triple combination. Longer postoperative monitoring may be required with diazepam, but this study has shown postoperative sleep times to be less than previously reported. Larger sample size is needed to determine if the current trend will be maintained.
Download or read book Behavior Management in Dentistry for Children written by Gerald Z. Wright and published by John Wiley & Sons. This book was released on 2014-01-21 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: Guiding patient behavior is as important as ever for the practicing dentist, and the behavior of pediatric patients is perhaps the most challenging to manage. Drs. Wright and Kupietzky here update Dr. Wright’s classic work on managing pediatric dental patients. Behavior Management in Dentistry for Children,2nd Edition, has been entirely rewritten and includes the latest and most effective management strategies from an international team of experts in the field. The book addresses the influence of family and parenting styles on children’s behavior and the factors that determine how children behave in the dental office. Pharmacological and non-pharmacological management techniques are described in depth, as are techniques for dealing with special needs patients. Clinical scenarios are described throughout the book, with practical application of the taught principles. The final part of the book covers the dental environment—training office personnel to manage children’s behavior, practical considerations for behavior guidance, and the effects of the physical dental office environment. Behavior Management in Dentistry for Children,2nd Edition, is ideal for pediatric residents, dental students, and practicing dentists who see children on a regular basis.
