Oxygen Saturation and Pulse Rate Change in Children during Sedation with Oral Midazolam and Nitrous Oxide

Blumer, Sigalit; Iraqi, Rabea; Bercovich, Roly; Peretz, Benjamin

doi:10.17796/1053-4625-42.6.11

Cited by 5 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7 Therefore, it is essential that child experiences less distress while undergoing dental treatment with utilization of various behaviour modulation techniques. 19,20,[29][30][31] In addition monitoring the vitals during dental procedure assists dentist to detect and reverse acute medical emergencies that may require an immediate response. 32…”

Section: Discussionmentioning

confidence: 99%

Effect of Routine dental procedures on the pulse rate and peripheral oxygen saturation in pediatric patients

Khanal,

Shah,

Khapung

2023

Nep. Med. Coll. J.

View full text Add to dashboard Cite

Dental treatment can cause anxiety in a child further leading to physiological changes that affects the success of dental care. This cross-sectional study was carried out to assess the changes in the pulse rate and peripheral oxygen saturation in children undergoing routine dental treatment. Total 80 patients of 6 to 12 years old were included in the study who were divided into four groups according the dental treatment they receive. Data was analyzed using SPSS-16. It was observed that the patients undergoing extraction (group IV) had higher mean pulse rate before, during and after the procedures; 100.25±9.33, 101.85±13.52, 98.85±7.63 respectively. Lowest SpO2 was recorded in the patients undergoing pulp therapy before the procedure (96.90±3.66). Pulse rate was higher in females compared to males but it was not statistically significant. The children in extraction group selecting facial image scale 4 had more mean pulse rate before during and after the procedure. The mean pulse rate was high in patients undergoing extraction in both first visit (103.00±9.21) and subsequent visits (101.36±15.28). It was concluded that physiological changes occur during routine dental treatment therefore monitoring should be done in order to prevent any dental emergencies.

show abstract

Section: Discussionmentioning

confidence: 99%

Effect of Routine dental procedures on the pulse rate and peripheral oxygen saturation in pediatric patients

Khanal,

Shah,

Khapung

2023

Nep. Med. Coll. J.

View full text Add to dashboard Cite

show abstract

“…Blumer et al . [13] in their study examined if changes in oxygen saturation and pulse rate of pediatric patients during conscious sedation with midazolam and nitrous oxide are associated with child’s behavior and concluded that poor behavior of pediatric patients does not affect oxygen saturation, but it increases the pulse rate of children under sedation with midazolam and nitrous oxide. Similarly, P. Van Der Bijl et al .…”

Section: Discussionmentioning

confidence: 99%

Comparative analysis of intravenous midazolam with nasal spray for conscious sedation in minor oral and maxillofacial surgeries

Kunusoth

Kkr

et al. 2019

J Pharm Bioall Sci

View full text Add to dashboard Cite

Aim: The aim of the current study was to evaluate the efficacy of nasal spray midazolam by collating it with conventional intravenous midazolam for conscious sedation in minor oral surgeries. Materials and Methods: Sixty patients were selected randomly and divided into two groups: group A for intranasal midazolam atomized spray ( n = 30) and group B for intravenous midazolam ( n = 30). Physiological parameters, anxiety score, sedation rating, patient’s cooperation score, and retrograde and anterograde amnesia were recorded for each patient during preoperative, intraoperative, and postoperative period. Final evaluation of safety and efficacy in the nasal and intravenous routes of midazolam drug during minor oral surgery was compared. Results: In this study, both intranasal and intravenous groups showed decrease in systolic blood pressure and diastolic blood pressure intraoperatively but within physiological limits and increase in the average pulse rates in both the groups. The average oxygen saturation levels were maintained to normal range in both the groups. The average respiratory rate decreased in both intranasal and intravenous groups during surgical procedure. The preoperative to postoperative anxiety scores were decreased significantly in the both groups and there was no significant difference in pre- to postoperative anxiety scores between the groups. Conclusion: Both intravenous and intranasal administration of midazolam showed better patient cooperation, satisfaction, and clinical effectiveness. Intranasal midazolam spray is effective in the reduction of subjective stress, reliable anxiolysis while preserving protective reflexes.

show abstract

“…19 Nitrous oxide given concurrently with drugs like Midazolam increases its effect. 37 Various research articles have recorded the efficiency and safety of using nitrous oxide with other sedative drugs in children who were uncooperative. Nitrous oxide potentiates the sedative effects of benzodiazepines in sedation.…”

Section: Combination Of Agentsmentioning

confidence: 99%

Predictable sedation: Safe administration of oral Midazolam and nitrous oxide gas for paediatric patients in the general dental practice

Potgieter

Streit

2021

S. Afr. dent. j.

View full text Add to dashboard Cite

Behaviour management for anxious paediatric dental patients is challenging. Solutions include education and sedation. Various drugs have been used to effectively sedate paediatric patients during treatment. The aim of this study was to review literature on the sedation of paediatric patients. The study specifically looked at those reviews covering the combination of two sedation methods in case of more challenging paediatric patients. The study undertook a literature review focused on studies using nitrous oxide, Midazolam, or a combination of the two substances. An electronic search was done on EBSCOhost to source articles published from 1979 to 2019. A deeper form of sedation can be achieved for paediatric patients when using a combination of nitrous oxide, oxygen and a hypnotic agent such as Midazolam. Dealing with the anxiety levels of paediatric patients is a challenge for dental health providers. Two of the main strategies used to deal with anxious children are behaviour management and sedation. A critical review of journal articles on the use of nitrous oxide and oxygen in combination with Midazolam was therefore undertaken. The findings suggest that, in order to achieve a deeper form of sedation, the combination of nitrous oxide, oxygen and Midazolam works well to reduce discomfort, anxiety and/or pain in paediatric patients.

show abstract

Oxygen Saturation and Pulse Rate Change in Children during Sedation with Oral Midazolam and Nitrous Oxide

Abstract: Poor behavior of pediatric patients does not affect oxygen saturation, but it increases the pulse rate of children under sedation with midazolam and nitrous oxide.

Cited by 5 publications

References 0 publications

Effect of Routine dental procedures on the pulse rate and peripheral oxygen saturation in pediatric patients

Effect of Routine dental procedures on the pulse rate and peripheral oxygen saturation in pediatric patients

Comparative analysis of intravenous midazolam with nasal spray for conscious sedation in minor oral and maxillofacial surgeries

Predictable sedation: Safe administration of oral Midazolam and nitrous oxide gas for paediatric patients in the general dental practice

Contact Info

Product

Resources

About