세보플루란 깊은 진정의 응급과 비응급적 사용에 관한 실태조사
A Survey of Non-Emergency and Emergency Deep Sedation using Sevoflurane Inhalation for Pediatric or Disabled Patients
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초록
심한 불안이나 불수의적인 움직임으로 행동조절이 어려운 소아와 장애인의 치과치료를 위해 깊은 진정법이 고려된다. 응급 치과진료에 있어 세보플루란 흡입을 이용한 깊은 진정이 빠른 유도와 회복으로 인해 선호된다. 2013년 1월부터 2013년 10월까지 세보플루란을 이용한 깊은 진정을 받은 소아와 장애인 121명을 대상으로 조사분석하였다. 깊은 진정법을 사전 계획한 환자군과 소아외상이나 장애인의 특성 등으로 응급으로 시행한 환자군을 비응급 세보플루란진정군과 응급 세보플루란진정군으로 나누었다. 비응급 세보플루란진정을 받은 환자는 95명이었고 응급 세보플루란진정을 받은 환자는 26명이다. 두 군간에 성별, 나이, 진정법을 시행한 이유, 유도방법, 진정시간 및 치료시간, 치료내용, 진료과를 비교분석하였다. 비응급 세보플루란진정은 소아와 장애인의 행동조절에 안전하고 효과적으로 사용되었고 응급 세보플루란진정은 외상을 입은 어린 소아환자의 짧고 간단한 치료에 유용하게 사용되었다. 세보플루란을 이용한 깊은 진정은 점차적으로 전신마취의 사용을 줄이고 소아와 장애인 환자의 응급 치과진료에 유용한 방법이었다.
Abstract
Deep sedation is considered for the dental treatment of pediatric or disabled patients who have severe anxietyor involuntary movement. Deep sedation using sevoflurane inhalation in emergency dental practice, therefore, isalso preferred for fast induction and recovery. This survey consists of 121 people with pediatric or disabled patientswho underwent dental treatment under deep sedation using sevoflurane inhalation from January 2013 toOctober 2013. Patients who were scheduled for deep sedation were classified into a non-emergency sevofluranesedation group, whereas patients who underwent emergency sedation due to trauma and patients with disabledcharacteristics itself were classified into an emergency sevoflurane sedation group. Of 121 patients studied, 95patients received dental care under non-emergency sedation, 26 patients received dental care under emergencysevoflurane sedation. The two groups were analyzed according to: gender; age; primary reason for sedation; durationof sedation; treatment time; induction methods; treatment information; and departments. Non-emergencysevoflurane sedation in pediatric or disabled patients was safe and effective for controlling the behavior. Emergency sevoflurane sedation was a useful method for younger pediatric patients with traumatic injury whoneed simple, short time emergency treatment. Deep sedation using sevoflurane inhalation not only will reducethe use of general anesthesia gradually but also will be a useful method to emergency treatment for pediatric ordisabled patients.
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