ºñÇùÁ¶ÀûÀÎ ¾Æµ¿ÀÇ Ä¡°ú Ä¡·á¸¦ À§ÇÑ Á¤ÁÖ ÁøÁ¤¿ä¹ý
INTRAVENOUS SEDATION FOR UNCOOPERATIVE DENTAL CHILD PATIENTS
¹Ú¿ë±Ô, ±è½Â¿À, ±èÁ¾¼ö,
¼Ò¼Ó »ó¼¼Á¤º¸
¹Ú¿ë±Ô ( Park Yong-Gyu ) - ´Ü±¹´ëÇб³ Ä¡°ú´ëÇÐ ¼Ò¾ÆÄ¡°úÇб³½Ç
±è½Â¿À ( Kim Seung-Oh ) - ´Ü±¹´ëÇб³ Ä¡°ú´ëÇÐ Ä¡°ú¸¶Ãë°úÇб³½Ç
±èÁ¾¼ö ( Kim Jong-Soo ) - ´Ü±¹´ëÇб³ Ä¡°ú´ëÇÐ ¼Ò¾ÆÄ¡°úÇб³½Ç
KMID : 0358920060330040710
Abstract
¼Ò¾ÆÄ¡°ú¿¡¼ ÁøÁ¤¿ä¹ýÀº Ä¡°ú ȯ°æ¿¡ ´ëÇÏ¿© °øÆ÷¸¦ °¡Áø ¾Æµ¿, ÇùÁ¶ Àü ´Ü°èÀÇ ¾Æµ¿, Àå¾Ö¸¦ °¡Áø ¾Æµ¿ ±×¸®°í ±¸Åä¹Ý»ç µîÀ» º¸À̴ ȯÀÚ¿¡°Ô »ç¿ëµÉ ¼ö ÀÖ´Ù. º» Áõ·Ê¿¡¼´Â ´Ù¹ß¼º Ä¡¾Æ ¿ì½ÄÁõÀ» ÁÖ¼Ò·Î º»¿ø¿¡ ³»¿øÇÑ È¯¾Æ¿¡¼ 1.0mg/kg ÄÉŸ¹Î°ú 0.03{sim}0.06mg/kg ¹Ì´ÙÁ¹¶÷ ±×¸®°í ¾ÆÆ®·ÎÇÉ Á¤ÁÖ º´¿ëÅõ¿© ÇÏ¿¡ ¼öº¹Ä¡·á¸¦ ½ÃÇàÇÏ¿´´Ù. Ä¡·á½Ã°£ÀÇ ¿¬Àå°ú ÀûÀýÇÑ ÁøÁ¤ »óÅ À¯Áö¸¦ À§ÇÏ¿© ÄÉŸ¹Î(0.33mg/kg)°ú ¹Ì´ÙÁ¹¶÷ 1mg(0.03{sim}0.05mg/kg)À» È¥ÇÕÇϰųª °¢°¢ Ãß°¡ Åõ¿©ÇÏ¿´´Ù. Áö¼ÓÀûÀ¸·Î ȯÀÚÀÇ È°·Â¡Èĸ¦ °üÂûÇÏ¸é¼ ¾à¹°ÀÇ Ãß°¡Åõ¿© ¿ë·®À» °áÁ¤ÇÏ¿´´Ù. ¸ð´ÏÅ͸µ Àåºñ·Î ¸Æ¹Ú »ê¼Ò ÃøÁ¤¹ý(pulse oximetry), ÀüÀÚ½ÉÀüµµ(electrocardiogram), ºñÇ÷°ü½ÄÇ÷¾Ð(NIBP : Noninvasive Blood Pressure)À» »ç¿ëÇÏ¿© ¸Æ¹Ú, È£Èí¼ö, Ç÷¾Ð, »ê¼Ò Æ÷ȵµ µîÀ» ÃøÁ¤ÇÏ¿´´Ù. Áø·á °úÁ¤µ¿¾È ¾ÈÀüÀ» À§ÇØ ¹Ì±¹ ¼Ò¾ÆÄ¡°ú ÇÐȸ(American Academy of Pediatric Dentistry ; AAPD)ÀÇ ±Ç°í »çÇ×À» ÁؼöÇÏ¿´´Ù.
The purpose of this study is to evaluate the intravenous (IV) sedation technique with midazolam and ketamine for uncooperative dental child patients. Three child patients between the ages of 4.4 years and 5.6 years who required sedation for dental treatment were given midazolam and ketamine. Initial dosage was combined of 0.03{sim}0.06mg/kg midazolam and 1.0mg/kg ketamine. Additional dosages of ketamine (0.33mg/kg) were given as needed to maintain deep sedation. Pulse rate, respiratory rate, blood pressure, oxygen saturation, adverse reactions, postoperative recovery and behavior were monitored with saturation pulse oximetry, ECG, NIBP and Cardiocap. In conclusion, the combination of midazolam and ketamine is efficacious in deep sedation for painful dental treatment. However, a significant drop in oxygen saturation was observed as a common adverse side effect. Therefore advanced airway management proficiency is required in order to achieve a successful IV sedation.
Å°¿öµå
ÁøÁ¤¿ä¹ý;Á¤ÁÖ;ÄÉŸ¹Î;¹Ì´ÙÁ¹¶÷;¾ÆÆ®·ÎÇÉ
Sedation;Intravenous injection;Ketamine;Midazolam;Atropine
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸