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소아치과 환자에서의 세보플루란을 이용한 흡입 심진정법
Inhalational Deep Sedation Using Sevoflurane in Pediatric Dental Patients

대한치과마취과학회지 2004년 4권 2호 p.90 ~ 95

이원호, 김영재, 장기택, 이상훈, 서광석, 김현정, 염광원, 박창주,

소속 상세정보

이원호 ( Lee Won-Ho ) - 서울대학교 치과대학 치과마취과학교실
김영재 ( Kim Young-Jae ) - 서울대학교 치과대학 소아치과학교실
장기택 ( Jang Ki-Taeg ) - 서울대학교 치과대학 소아치과학교실
이상훈 ( Lee Sang-Hoon ) - 서울대학교 치과대학 소아치과학교실
서광석 ( Seo Kwang-Suk ) - 서울대학교 치과병원 마취통증의학과
김현정 ( Kim Hyun-Jeong ) - 서울대학교 치과대학 치과마취과학교실
염광원 ( Yeom Kwang-Won ) - 서울대학교 치과대학 치과마취과학교실
박창주 ( Park Chang-Joo ) - 서울대학교 치과대학 치과마취과학교실

KMID : 0980220040040020090

Abstract

Background: Sevoflurane, a rotatively new inhalational anesthetic. has non-pungent odor and is less reluctant to pediatric patients. The purpose of this study is to examine the feasibility of sevoflurane in inhalational sedation instead of the nitrous oxide for short and simple dental treatments in pediatric patients. Patients and Methods: Fifteen healthy children, whose dental treatment was abandoned due to their little or no cooperation, were selected with their caregivers’’ written permission. Deep sedation was induced and maintained with oxygen and 1-5% sevoflufane via specially designed nasal mask. Blood pressure, heart rate, oxygen saturation, and electrocardiogram were monitored at 3-nin interval. A dental anesthesiologist, who was independent of dental treatments, was wholly responsible for the sedation procedure. Post-sedation complications and operator’’s and caregiver’’s acceptability of this type of inhalational sedation were also investigated. Results: The systolic and diastolic blood pressure, heart rate, and oxygen saturation was significantly depressed during the deep sedation using sevoflurane (P < 0.05). No severe post-sedation complications were found, however, bradycardia was reported in 3 patients. Almost all the operators and caregivers answered that they would adapt this sedation procedure again if possible. Conclusion: In this study, inhalational deep sedation using sevoflurane for dental treatments was found to be very useful. Furthermore, the application of sevoflurane to conscious sedation for pediatric and adult dental patients should be added.