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Additional effects of nitruos oxide to other sedative drugs for behavior management

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Abstract


Nitrous oxide has acquired widespread use as a tool for management of anxious and comprehensive pediatric dental patients. Clinical impressions have suggested that inhalation sedation with N2O/O2 reinforces the effect of other sedatives. Fifteen
uncooperative children, mean age of 37months, who were regarded as fail in the first treatment using chloral hydrate-hydroxyzine orally, midazolam orally or intranasally, were sedated with the same sedatives in conjunction with N2O/O2. All the
children
were restrained in a pediwrap and were monitored with pulse oximeter for their heart rate and oxygen saturation. Degree of sleep, crying and movement were evaluated. The clinical results indicated that a satisfactory level of sedation was
achieved
in
approximately two thirds of the cases (about 66%) under those sedation manner. Complications were rare and those of treatments were successfully completed without difficulty.

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