소아청소년의 약물적 행동유도
Pharmacological Behavioral Management for children and adolescence
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Managing uncooperative behaviors related to dental treatment is necessary for guiding children and adolescence to more favorable behaviors. The first approach should be controlling their behaviors using non-phamarcologic behavior management techniques. However, if this approach fails, it is helpful to control negative behaviors pharmacologically. Accordingly, sedation is frequently used to relieve anxiety related to dental treatment. Also, general anesthesia has been applied to the situations in which sedation is either ineffective or impossible to gain cooperation during treatment. This article discusses the pharmacology of widely used sedatives for children and adolescence and clinical considerations of managing uncooperative children and adolescence with the use of sedation. Furthermore, we recommend clinical indication of selecting general anesthesia rather sedation for the purpose of behavior management.
Abstract
Managing uncooperative behaviors related to dental treatment is necessary for guiding children and adolescence to more favorable behaviors. The first approach should be controlling their behaviors using non-phamarcologic behavior management techniques. However, if this approach fails, it is helpful to control negative behaviors pharmacologically. Accordingly, sedation is frequently used to relieve anxiety related to dental treatment. Also, general anesthesia has been applied to the situations in which sedation is either ineffective or impossible to gain cooperation during treatment. This article discusses the pharmacology of widely used sedatives for children and adolescence and clinical considerations of managing uncooperative children and adolescence with the use of sedation. Furthermore, we recommend clinical indication of selecting general anesthesia rather sedation for the purpose of behavior management.
참고문헌 (18)
- American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists, "Practice guidelines for sedation and analgesia by non-anesthesiologists", Anesthesiology, 96(4), pp.1004~1017 (2002)
- Kim TK, "Enhancing a sedation score to include truly noxious stimulation: the Extended Observer's Assessment of Alertness and Sedation (EOAA", S), 2015, pp.115(4), 569~577
- 양연미, "소아치과의사의 진정법 사용에 대한 실태조사", 대한소아치과학회지, 41(3), pp.257~265 (2014), 대한소아치과학회[DOI]
- 오세리, "의료진의 실수로 인한 미다졸람의 근육 내 과다 투여 -증례보고-", Journal of Dental Anesthesia and Pain Medicine, 11(1), pp.27~31 (2011), 대한치과마취과학회
- Wilson S, "Project USAP 2010: Use of Sedative Agents in Pediatric Dentistry-a 25-year Follow-up Survey", Pediatr Dent, 38(2), pp.127~133 (2016)
- Salem K, "Efficacy and Safety of Orally Administered Intravenous Midazolam Versus a Commercially Prepared Syrup", Iran J Pediatr, 25(3), pp.e494~ (2015)
- Musani IE, "A comparison of the sedative effect of oral versus nasal midazolam combined with nitrous oxide in uncooperative children", Eur Arch Paediatr Dent, 16(5), pp.417~424 (2015)
- Primosch RE, "Comparison of drops versus spray administration of intranasal midazolam in two-and three-year-old children for dental sedation", Pediatr Dent, 27(5), pp.401~408 (2005)
- Myers GR, "Effect of submucosal midazolam on behavior and physiologic response when combined with oral chloral hydrate and nitrous oxide sedation", Pediatr Dent, 26(1), pp.37~43 (2004)
- Sunbul N, "Buccal versus intranasal midazolam sedation for pediatric dental patients", Pediatr Dent, 36(7), pp.483~488 (2014)
- Rodrigo MR, "Oral midazolam sedation in third molar surgery", Int J Oral Maxillofac Surg, 16(3), pp.333~337 (1987)
- 김철홍, "치과시술을 위한 정주진정", 대한치과의사협회지, 51(7), pp.398~404 (2013), 대한치과의사협회
- Malamed SF, "Sedation-A Guide to Patient Management" (2010), Elesevier Inc
- Jastak JT, "Nitrous oxide", Anesth Prog, 38(4-5), pp.142~153 (1991)
- Coté CJ, "Adverse sedation events in pediatrics: a critical incident analysis of contributing factors", Pediatrics, 105(4 Pt 1), pp.805~814 (2000)
- Coté CJ, "Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures : an update", Pediatrics, 118(6), pp.2587~2602 (2006)
- Patel M, "Parental Attitudes Toward Advanced Behavior Guidance Techniques Used in Pediatric Dentistry", Pediatr Dent, 38(1), pp.30~36 (2016)
- 대한소아치과학회, "소아청소년치과학" (2014), 도서출판웰
