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Pediatric tooth extractions under sedoanalgesia
OBJECTIVE: The present study aims to evaluate intravenous ketamine and inhalation sedation in children, their unwanted side-effects and surgeon satisfaction. METHODS: In this study, data of 922 children aged between 1-18 who underwent tooth extraction under sedoanalgesia in our department between Se...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Professional Medical Publications
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5103151/ https://www.ncbi.nlm.nih.gov/pubmed/27882039 http://dx.doi.org/10.12669/pjms.325.10643 |
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author | Arpaci, Ayse Hande Isik, Berrin |
author_facet | Arpaci, Ayse Hande Isik, Berrin |
author_sort | Arpaci, Ayse Hande |
collection | PubMed |
description | OBJECTIVE: The present study aims to evaluate intravenous ketamine and inhalation sedation in children, their unwanted side-effects and surgeon satisfaction. METHODS: In this study, data of 922 children aged between 1-18 who underwent tooth extraction under sedoanalgesia in our department between September 2015-January 2016 were gathered and anesthesia approaches, unwanted side effects and surgical satisfaction was investigated. Postoperative recovery emergence agitation or delirium was evaluated with Watcha Behavior Scale (WBS). RESULTS: Patients were grouped and compared according to acceptance of intravenous line placement (Group-1) or not (Group- 2). Group 1 received intravenous ketamine anesthesia (n=822), Group 2 received inhalation anesthesia with sevoflurane (n=100). Number of patients, age, weight and gender was significantly different in two groups. When side effects were investigated nausea was observed in 30 patients (3.6%), skin rashes were observed in 26 patients (3.2%) in Group-1 while skin rashes were observed in one patient (1%) in Group 2. 95% of surgeons reported intravenous anesthesia, 18% of surgeons reported inhalation anesthesia to be the anesthesia of choice. Emergence of postoperative recovery agitation (WBS≥3) was observed more frequent in Group 2 (p<0.05) than Group 1. CONCLUSION: Ketamine, which has analgesic, hypnotic and amnestic effects and which does not alter pharyngeal and laryngeal reflexes thus minimizes aspiration possibility, is a safe and effective anesthetic agent for tooth extractions of the pediatric population under sedoanalgesia. |
format | Online Article Text |
id | pubmed-5103151 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Professional Medical Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-51031512016-11-23 Pediatric tooth extractions under sedoanalgesia Arpaci, Ayse Hande Isik, Berrin Pak J Med Sci Original Article OBJECTIVE: The present study aims to evaluate intravenous ketamine and inhalation sedation in children, their unwanted side-effects and surgeon satisfaction. METHODS: In this study, data of 922 children aged between 1-18 who underwent tooth extraction under sedoanalgesia in our department between September 2015-January 2016 were gathered and anesthesia approaches, unwanted side effects and surgical satisfaction was investigated. Postoperative recovery emergence agitation or delirium was evaluated with Watcha Behavior Scale (WBS). RESULTS: Patients were grouped and compared according to acceptance of intravenous line placement (Group-1) or not (Group- 2). Group 1 received intravenous ketamine anesthesia (n=822), Group 2 received inhalation anesthesia with sevoflurane (n=100). Number of patients, age, weight and gender was significantly different in two groups. When side effects were investigated nausea was observed in 30 patients (3.6%), skin rashes were observed in 26 patients (3.2%) in Group-1 while skin rashes were observed in one patient (1%) in Group 2. 95% of surgeons reported intravenous anesthesia, 18% of surgeons reported inhalation anesthesia to be the anesthesia of choice. Emergence of postoperative recovery agitation (WBS≥3) was observed more frequent in Group 2 (p<0.05) than Group 1. CONCLUSION: Ketamine, which has analgesic, hypnotic and amnestic effects and which does not alter pharyngeal and laryngeal reflexes thus minimizes aspiration possibility, is a safe and effective anesthetic agent for tooth extractions of the pediatric population under sedoanalgesia. Professional Medical Publications 2016 /pmc/articles/PMC5103151/ /pubmed/27882039 http://dx.doi.org/10.12669/pjms.325.10643 Text en Copyright: © Pakistan Journal of Medical Sciences http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Arpaci, Ayse Hande Isik, Berrin Pediatric tooth extractions under sedoanalgesia |
title | Pediatric tooth extractions under sedoanalgesia |
title_full | Pediatric tooth extractions under sedoanalgesia |
title_fullStr | Pediatric tooth extractions under sedoanalgesia |
title_full_unstemmed | Pediatric tooth extractions under sedoanalgesia |
title_short | Pediatric tooth extractions under sedoanalgesia |
title_sort | pediatric tooth extractions under sedoanalgesia |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5103151/ https://www.ncbi.nlm.nih.gov/pubmed/27882039 http://dx.doi.org/10.12669/pjms.325.10643 |
work_keys_str_mv | AT arpaciaysehande pediatrictoothextractionsundersedoanalgesia AT isikberrin pediatrictoothextractionsundersedoanalgesia |