title: The use of intravenous midazolam and ketamine in paediatric dental sedation.
abstract: In the UK, Dental General Anaesthesia (DGA) was removed from primary care at the end of 2001. Since then anxious and 'difficult' paediatric dental patients have been treated using local anaesthesia with or without conscious sedation. Evidence has been lacking as to the safety and efficacy of paediatric dental sedation in primary care. Various centres have presented evidence of good clinical practice when anaesthetist-led. This study describes an audit of 500 children treated using intravenous midazolam and ketamine, by an operator-sedationist in a primary care setting.
authors.affiliation: Leagrave Dental Sedation Clinic, Luton , Bedfordshire.
authors.forename: Michael
authors.initials: M
authors.lastname: Wood
mesh_terms: D000293:Adolescent; D000762:Anesthesia Recovery Period; D000766:Anesthesia, Dental / Q000379:methods*; D000778:Anesthetics, Dissociative / Q000008:administration & dosage / Q000009:adverse effects; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002355:Carticaine / Q000008:administration & dosage; D002648:Child; D002652:Child Behavior / Q000187:drug effects; D002675:Child, Preschool; D016292:Procedural Sedation / Q000379:methods*; D003448:Crying; D019230:Dental Audit; D003729:Dental Care / Q000145:classification; D005260:Female; D005500:Follow-Up Studies; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage / Q000009:adverse effects; D007649:Ketamine / Q000008:administration & dosage / Q000009:adverse effects; D008297:Male; D008874:Midazolam / Q000008:administration & dosage / Q000009:adverse effects; D017063:Outcome Assessment, Health Care; D010100:Oxygen / Q000097:blood; D017060:Patient Satisfaction; D011320:Primary Health Care; D011446:Prospective Studies; D012449:Safety; D006113:United Kingdom
chemical_list: D000778:Anesthetics, Dissociative; D000779:Anesthetics, Local; D006993:Hypnotics and Sedatives; D007649:Ketamine; D002355:Carticaine; D008874:Midazolam; D010100:Oxygen