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Nitrous oxygen sedation

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https://www.readbyqxmd.com/read/27790555/efficacy-and-safety-of-clonidine-as-an-adjuvant-to-bupivacaine-for-caudal-analgesia-in-paediatric-infra-umbilical-surgeries
#1
Samita Priolkar, Shirley Ann D'Souza
INTRODUCTION: Caudal analgesia, has gained popularity in paediatric intraoperative and postoperative pain management, more so with the use of adjuvants to prolong its duration, each of them having various results. Clonidine, an alpha2-adrenergic agonist is being used for its analgesic effects in various doses with 0.25% Bupivacaine. AIM: The study was conducted to compare the analgesic efficacy, haemodynamic safety and side effects of 1 μg/kg Clonidine added to 1 ml/kg of 0...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27747238/inhalation-conscious-sedation-with-nitrous-oxide-and-oxygen-as-alternative-to-general-anesthesia-in-precooperative-fearful-and-disabled-pediatric-dental-patients-a-large-survey-on-688-working-sessions
#2
Angela Galeotti, Annelyse Garret Bernardin, Vincenzo D'Antò, Gianmaria Fabrizio Ferrazzano, Tina Gentile, Valeria Viarani, Giorgio Cassabgi, Tiziana Cantile
Aim. To evaluate the effectiveness and the tolerability of the nitrous oxide sedation for dental treatment on a large pediatric sample constituting precooperative, fearful, and disabled patients. Methods. 472 noncooperating patients (aged 4 to 17) were treated under conscious sedation. The following data were calculated: average age; gender distribution; success/failure; adverse effects; number of treatments; kind of dental procedure undertaken; number of dental procedures for each working session; number of working sessions for each patient; differences between males and females and between healthy and disabled patients in relation to success; success in relation to age; and level of cooperation using Venham score...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27621048/nitrous-oxide-for-pain-management-during-in-office-hysteroscopic-sterilization-a-randomized-controlled-trial
#3
Emily N Schneider, Regan Riley, Eve Espey, Shiraz I Mishra, Rameet H Singh
OBJECTIVES: To evaluate whether inhaled nitrous oxide with oxygen (N2O/O2) is associated with less pain compared to oral sedation for pain management during in-office hysteroscopic sterilization. STUDY DESIGN: This double blinded randomized controlled trial enrolled women undergoing in-office hysteroscopic sterilization. All participants received pre-procedure intramuscular ketorolac and a standardized paracervical block. The intervention group also received N2O/O2 via a nasal mask titrated to a maximum 70%:30% mixture by a nurse during the procedure and placebo pills pre-procedure and the active control group received inhaled O2 during the procedure and 5/325 mg hydrocodone/acetaminophen and 1 mg lorazepam pre-procedure...
September 9, 2016: Contraception
https://www.readbyqxmd.com/read/27513396/the-effects-of-conscious-sedation-with-nitrous-oxide-oxygen-on-cognitive-functions
#4
Sara Samur Ergüven, Ertan Ali Delilbaşi, Berrin İşik, Ferhunde Öktem
BACKGROUND/AIM: The aim of this study was to investigate the effects of conscious sedation with 40% nitrous oxide/oxygen (N2O/O2) on cognitive functions. MATERIALS AND METHODS: Forty dental patients referred to the sedation unit at Gazi University Faculty of Dentistry Department of Oral and Maxillofacial Surgery received a combination of 40% N2O/O2 inhalation for conscious sedation. Psychometric tests were applied three times: before sedation, during sedation, and at the end of the recovery, for assessing cognitive functions...
2016: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/27501304/preoperative-analgesics-for-additional-pain-relief-in-children-and-adolescents-having-dental-treatment
#5
REVIEW
Paul F Ashley, Susan Parekh, David R Moles, Prabhleen Anand, Laura C I MacDonald
BACKGROUND: Fear of dental pain is a major barrier to treatment for children who need dental care. The use of preoperative analgesics has the potential to reduce postoperative discomfort and intraoperative pain. We reviewed the available evidence to determine whether further research is warranted and to inform the development of prescribing guidelines. This is an update of a Cochrane review published in 2012. OBJECTIVES: To assess the effects of preoperative analgesics for intraoperative or postoperative pain relief (or both) in children and adolescents undergoing dental treatment without general anaesthesia or sedation...
August 8, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27461803/comparative-evaluation-of-diffusion-hypoxia-and-psychomotor-skills-with-or-without-postsedation-oxygenation-following-administration-of-nitrous-oxide-in-children-undergoing-dental-procedures-a-clinical-study
#6
Vineet Inder Singh Khinda, Parvesh Bhuria, Paramjit Khinda, Shiminder Kallar, Gurlal Singh Brar
BACKGROUND: Diffusion hypoxia is the most serious potential complication associated with nitrous oxide. It occurs during the recovery period. Hence, administration of 100% oxygen is mandatory as suggested by many authors. AIM: The aim of this study is to evaluate the occurrence/nonoccurrence of diffusion hypoxia in two groups of patients undergoing routine dental treatment under nitrous oxide sedation when one group is subjected to 7 min of postsedation oxygenation and the second group of the patients is made to breathe room air for the similar period...
July 2016: Journal of the Indian Society of Pedodontics and Preventive Dentistry
https://www.readbyqxmd.com/read/27377113/chloral-hydrate-for-sedation-of-children-with-asthma-during-dental-treatment
#7
I Abdulhamid, M Tremblay, J Stenger, V Tutag Lehr
AIM: We hypothesised that chloral hydrate is safe and effective for sedation during dental treatments for children with mild asthma. We evaluated the safety and efficacy of chloral hydrate by measuring changes in heart rate (HR), transcutaneous oxygen saturation, (SpO2), asthma score, behaviour, types and frequency of adverse reactions associated with chloral hydrate were assessed throughout treatment. MATERIALS AND METHODS: Children (<10 years old) with mild asthma undergoing dental treatments received a single 65 mg/kg oral dose of chloral hydrate liquid 1 hour prior to treatment in an open label trial...
June 2016: European Journal of Paediatric Dentistry: Official Journal of European Academy of Paediatric Dentistry
https://www.readbyqxmd.com/read/27190950/a-comparison-of-the-effectiveness-of-oral-midazolam-n2o-versus-oral-ketamine-n2o-in-pediatric-patients-an-in-vivo-study
#8
Vasanthi Done, Ravichandrasekhar Kotha, Aron Arun Kumar Vasa, Suzan Sahana, Raghavendra Kumar Jadadoddi, Sushma Bezawada
INTRODUCTION: Most children are casual and moderately agreeable in the dental treatment environment, however some of them show practices that upset the professional and make the protected conveyance of worthy treatment extremely troublesome. For such cases dental practitioner utilizes behavior management techniques. At the point when behavioral administration procedures come up short, some type of pharmacologic sedation or anesthesia may be an important and vital option. Dental sedation is a strategy in which the utilization of a medication or drugs produce(s) a condition of depression of the central sensory system empowering treatment to be completed during which verbal contact with the patient is kept up all through the time of sedation...
April 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27108128/ct-guided-paravertebral-block-for-microwave-ablation-of-kidney-tumors-a-new-technique
#9
Jonathan Dubut, Bruno Kastler, Eric Delabrousse, Charlee Nardin, Julien Chenet, François Kleinclauss, Sébastien Aubry
PURPOSE: In patients undergoing computed tomography (CT)-guided microwave ablation (MWA) for renal tumors, we developed a CT-guided anterior paravertebral block (PVB) associated with anesthesia of the kidney capsule and inhalation of an equimolar mixture of oxygen and nitrous oxide (EMONO). The primary objectives were to describe our technique and to study its efficacy in terms of procedural success. The secondary objective was to study the tolerance by evaluating patient pain scores and the number of complications...
June 2016: Abdominal Radiology
https://www.readbyqxmd.com/read/26768923/effect-of-nitrous-oxide-on-fentanyl-consumption-in-burned-patients-undergoing-dressing-change
#10
Arthur Halley Barbosa do Vale, Rogério Luiz da Rocha Videira, David Souza Gomez, Maria José Carvalho Carmona, Sara Yume Tsuchie, Cláudia Flório, Matheus Fachini Vane, Irimar de Paula Posso
BACKGROUND AND OBJECTIVES: Thermal injuries and injured areas management are important causes of pain in burned patients, requiring that these patients are constantly undergoing general anesthesia for dressing change. Nitrous oxide (N2O) has analgesic and sedative properties; it is easy to use and widely available. Thus, the aim of this study was to evaluate the analgesic effect of N2O combined with fentanyl in burned patients during dressing change. METHOD: After approval by the institutional Ethics Committee, 15 adult burned patients requiring daily dressing change were evaluated...
January 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/26617275/a-prospective-observational-study-of-maternal-oxygenation-during-remifentanil-patient-controlled-analgesia-use-in-labour
#11
A A Messmer, J M Potts, C E Orlikowski
Numerous studies of remifentanil patient-controlled analgesia during labour have shown high levels of maternal satisfaction, but concerns remain, especially over the side-effects of sedation and respiratory depression. We conducted a prospective observational study of maternal oxygen desaturation during remifentanil patient-controlled analgesia. Pulse oximetry values were recorded every eight s and later downloaded for analysis. A desaturation episode was defined as oxygen saturation < 90%. We collected 148 h of data in 61 women, during which we observed 176 desaturation episodes...
February 2016: Anaesthesia
https://www.readbyqxmd.com/read/26543454/the-effects-of-dexmedetomidine-on-attenuation-of-hemodynamic-changes-and-there-effects-as-adjuvant-in-anesthesia-during-laparoscopic-surgeries
#12
Kalpana S Vora, Ushma Baranda, Veena R Shah, Manisha Modi, Geeta P Parikh, Bina P Butala
BACKGROUND: As an anesthetic adjuvant dexmedetomidine has been shown to provide good perioperative hemodynamic stability with minimum alveolar concentration sparing effect on inhalational anesthetic agents during laparoscopic surgeries performed under general anesthesia. AIM: The study was planned to investigate the effects of dexmedetomidine on attenuation of hemodynamic changes and requirements of intra-operative analgesic and inhalational anesthetic during laparoscopic surgeries and its postoperative side effects...
October 2015: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/26200051/chronic-pain-relief-after-the-exposure-of-nitrous-oxide-during-dental-treatment-longitudinal-retrospective-study
#13
Francisco Moreira Mattos Júnior, Rafael Villanova Mattos, Manoel Jacobsen Teixeira, Silvia Regina Dowgan Tesseroli de Siqueira, Jose Tadeu Tesseroli de Siqueira
The objective was to investigate the effect of nitrous/oxygen in chronic pain. Seventy-seven chronic pain patients referred to dental treatment with conscious sedation with nitrous oxide/oxygen had their records included in this research. Data were collected regarding the location and intensity of pain by the visual analogue scale before and after the treatment. Statistical analysis was performed comparing pre- and post-treatment findings. It was observed a remarkable decrease in the prevalence of pain in this sample (only 18 patients still had chronic pain, p < 0...
July 2015: Arquivos de Neuro-psiquiatria
https://www.readbyqxmd.com/read/26156280/evaluation-of-nitrous-oxide-inhalation-sedation-during-inferior-alveolar-block-administration-in-children-aged-7-10-years-a-randomized-control-trial
#14
Deepti Takkar, Arathi Rao, Ramya Shenoy, Ashwin Rao, Baranya Srikrishna Saranya
BACKGROUND: Nitrous oxide-oxygen (N 2 O-O 2 ) is being used in combination with many drugs and this possess risk for leading to deep sedation or reflexes being compromised. AIM: The purpose of our study was to use N 2 O-O 2 alone, to evaluate its effectiveness for pain control during inferior alveolar nerve block administration in children. DESIGN: This was a single-centered, simple randomized, double-blinded, placebo-controlled parallel-group study involving 40 children in the age group of 7-10 years divided into 2 groups: N 2 O-O 2 sedation and oxygen...
July 2015: Journal of the Indian Society of Pedodontics and Preventive Dentistry
https://www.readbyqxmd.com/read/26003005/laryngospasm-with-apparent-aspiration-during-sedation-with-nitrous-oxide
#15
Franz E Babl, Joanne Grindlay, Michael Joseph Barrett
Nitrous oxide and oxygen mixture has become increasingly popular for the procedural sedation and analgesia of children in the emergency department. In general, nitrous oxide is regarded as a very safe agent according to large case series. We report a case of single-agent nitrous oxide sedation of a child, complicated by laryngospasm and radiographically confirmed bilateral upper lobe pulmonary opacities. Although rarely reported with parenteral sedative agents, laryngospasm and apparent aspiration has not been previously reported in isolated nitrous oxide sedation...
November 2015: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/25939638/a-comparison-of-the-sedative-effect-of-oral-versus-nasal-midazolam-combined-with-nitrous-oxide-in-uncooperative-children
#16
RANDOMIZED CONTROLLED TRIAL
I E Musani, N V Chandan
AIM: To compare a combination of oral midazolam (0.2 mg/kg body weight) and nitrous oxide-oxygen sedation with a combination of intranasal midazolam (0.1 mg/kg body weight) and nitrous oxide-oxygen sedation for effectiveness, patient acceptability and safety profile in controlling the behaviour of uncooperative children. METHODS: Thirty children, 4-10 years of age, referred for dental treatment were included in the study with a crossover design. Each patient was sedated with a combination of either oral midazolam and nitrous oxide-oxygen sedation or intranasal midazolam and nitrous oxide-oxygen sedation at subsequent dental treatment visits...
October 2015: European Archives of Paediatric Dentistry: Official Journal of the European Academy of Paediatric Dentistry
https://www.readbyqxmd.com/read/25885723/attenuation-of-sympathoadrenal-responses-and-anesthetic-requirement-by-dexmedetomidine
#17
Arpita Laha, Sarmila Ghosh, Susanta Sarkar
CONTEXT: During induction of general anesthesia hypertension and tachycardia caused by tracheal intubation may lead to cardiac ischemia and arrhythmias. Dexmedetomidine attenuates the hemodynamic response to endotracheal intubation and reduces anesthetic requirement. AIMS: The purpose of this study was to evaluate the effect of a single pre-induction intravenous dose of dexmedetomidine 1 μg/kg on cardiovascular response resulting from laryngoscopy and endotracheal intubation and need for anesthetic agent...
January 2013: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/25885624/anesthetic-management-in-a-child-with-job-s-syndrome
#18
Prasad Kulkarni, Riddhi Shah, V N Priyanka
Job's syndrome also known as hyper-IgE syndrome is a rare disorder associated with immunodeficiency. It includes recurrent abscesses of staphylococcal origin affecting skin and musculoskeletal system, recurring pneumonia and pneumatoceles, eosinophilia, craniofacial, and bone growth changes. This case report describes the disease and anesthetic management. Ten-year-old male child weighing 18 kg was diagnosed recently as Job's syndrome and was posted for abscess drainage over chest, back, upper, and lower limb...
July 2012: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/25885301/pregabalin-premedication-a-new-treatment-option-for-hemodynamic-stability-during-general-anesthesia-a-prospective-study
#19
Kumkum Gupta, Pranav Bansal, Prashant K Gupta, Y P Singh
BACKGROUND: Hemodynamic responses of laryngoscopy, intubation, and pain are powerful noxious stimulus which should be attenuated by the appropriate premedication, smooth induction, and rapid intubation. CONTEXT: The oral pregabalin may attenuate the hemodynamic pressor response with intraoperative hemodynamic stability. AIMS: The present study was designed to evaluate the clinical efficacy and safety of oral pregabalin for hemodynamic stability...
January 2011: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/25824000/-therapy-of-acute-respiratory-distress-syndrome-survey-of-german-ards-centers-and-scientific-evidence
#20
M Kredel, D Bierbaum, C Lotz, J Küstermann, N Roewer, R M Muellenbach
BACKGROUND: In addition to specific treatment of the underlying cause, the therapy of acute respiratory distress syndrome (ARDS) consists of lung protective ventilation and a range of adjuvant and supportive measures. AIM: A survey was conducted to determine the current treatment strategies for ARDS in German ARDS centers. MATERIAL AND METHODS: The 39 centers listed in the German ARDS network in 2011 were asked to complete a questionnaire collecting data on the clinic, epidemiology as well as diagnostic and therapeutic measures regarding ARDS treatment...
April 2015: Der Anaesthesist
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