Cortés VA, Juárez LLA, Ramírez GG

Language: Spanish
References: 21
Page: 45-49
PDF size: 142.32 Kb.

ABSTRACT

The Nitrous Oxide-Midazolam technic has been used in the pediatric patients with fear or anxiety to relax and change the negative attitude. The objective of this study was to evaluate if the acetaminophen, in the Nitrous Oxide-midazolam sedation gives better levels of sedation and, modify the pain control. 59 healthy children ranging in age between 30 to 62 ASA 1 months, uncooperative conduct (Frankl scale) were distributed and randomized in two groups; first group received the combination of N2O/midazolam plus acetaminophen, the second group did not receive the analgesic. The level of sedation in the Houp scale was observed and olso the vital signs. The results showed: in the group with acetaminophen the 77% obtained a level of sedation of good to excellent; 2% acceptable and 20% poor sedation. In the other group 40% with levels of good to excellent; the 15% acceptable and 45% poor (p = 0.01). The values of the vital signs didn’t show adverse effect. All the patients were awake during the procedure. The combination of N2O-midazolam-acetaminophen provide better sedative effects than without the analgesic, is well tolerated for the pediatric patient and can be used as an alternative for the control of negative attitude during the dental treatment.

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