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https://www.readbyqxmd.com/read/29403234/conscious-sedation-with-nitrous-oxide-to-control-stress-during-dental-treatment-in-patients-with-cerebral-palsy-an-experimental-clinical-trial
#1
Fernando M Baeder, Daniel F Silva, Ana Cl de Albuquerque, Maria Tbr Santos
Introduction: Individuals with cerebral palsy (CP) often present with oral alterations that impact oral health and require dental treatment. Aim: This study aimed to evaluate the use of conscious sedation with nitrous oxide (N2O) to control stress during dental treatment in individuals with CP using as parameters: Venham score (VS), heart rate (HR), and respiratory rate (RR). Materials and methods: A total of 77 CP patients >3 years of age with a mean age of 11...
October 2017: International Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/29360650/exploring-nitrous-oxide-as-treatment-of-mood-disorders-basic-concepts
#2
Peter Nagele, Charles F Zorumski, Charles Conway
Nitrous oxide (laughing gas) has shown early promise as a rapidly acting antidepressant in patients with treatment-resistant major depression and is currently investigated in several clinical trials. Because nitrous oxide is rarely administered outside operating rooms or dental practices, most psychiatrists are not familiar with how nitrous oxide is administered in a medical setting and what regulations guide its use. The goal of this brief review was to educate psychiatrists about the basic concepts of nitrous oxide administration and pharmacology...
January 23, 2018: Journal of Clinical Psychopharmacology
https://www.readbyqxmd.com/read/29316032/optimum-time-for-intravenous-cannulation-after-induction-with-sevoflurane-oxygen-and-nitrous-oxide-in-children-without-any-premedication
#3
Abm Kamrul Hasan, Raman Sivasankar, Salil G Nair, Wamia U Hasan, Zulaidi Latif
BACKGROUND: Intravenous cannulation is usually done in children after inhalational induction with volatile anesthetic agents. The optimum time for safe intravenous cannulation after induction with sevoflurane, oxygen, and nitrous oxide has been studied in premedicated children, but there is no information for the optimum time for cannulation with inhalational induction in children without premedication. AIMS: The aim of this study was to determine the optimum time for intravenous cannulation after the induction of anesthesia with sevoflurane, oxygen, and nitrous oxide in children without any premedication...
February 2018: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/29275808/from-dental-to-mental-institutions-asylum-bound-dentist-zacheus-rogers-oxygenates-nitrous-oxide
#4
Matthew L Edwards, George S Bause
American dentist Zacheus Rogers taught surgeon Edmund Andrews-and indirectly anesthesia pioneers SJ Hayes and FW Hewitt-to oxygenate anesthetics. Ironically, Rogers may have himself suffered neurologic damage by failing to oxygenate the nitrous oxide that he is speculated to have abused personally.
October 2017: Journal of Anesthesia History
https://www.readbyqxmd.com/read/29275807/precarious-distraction-and-carious-extraction-nitrous-oxide-during-the-second-world-billiards-tournament
#5
Sheng-Chieh Chang, George S Bause
During the 1879 Brunswick & Balke World Billiards Tournament, Manager FC Newhall had a tooth extracted under nitrous oxide administered by GQ Colton. The dental extraction occurred at the tournament site, New York City's Cooper Institute.
October 2017: Journal of Anesthesia History
https://www.readbyqxmd.com/read/29275805/from-dental-to-mental-institutions-did-hypoxic-anesthetics-by-dental-associations-add-more-brain-injured-patients-to-america-s-insane-asylums
#6
Matthew L Edwards, George S Bause
Though most patients survived the hypoxic challenge, some patients likely suffered asphyxial brain damage from GQ Colton's nitrous-oxide techniques and were admitted to insane or lunatic asylums.
October 2017: Journal of Anesthesia History
https://www.readbyqxmd.com/read/29200369/anesthetic-management-of-a-patient-with-a-history-of-rhabdomyolysis-for-dental-treatment
#7
Hitomi Terasaki, Shinichi Ito
When general anesthesia is administered for patients considered at high risk for rhabdomyolysis, appropriate precautions are warranted. The use of suitable anesthetics, with attention to intravenous fluid management, electrolyte balance, respiration, and metabolism, should be addressed. We performed general anesthesia for dental treatment and biopsy for fibrous hyperplasia of the buccal mucosa in a patient with a history of rhabdomyolysis. We utilized thiamylal sodium, midazolam, rocuronium bromide, nitrous oxide, fentanyl, and remifentanil without using volatile anesthetics and propofol for this case...
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/29179368/use-of-nitrous-oxide-for-pediatric-dental-patients
#8
(no author information available yet)
No abstract text is available yet for this article.
September 15, 2017: Pediatric Dentistry
https://www.readbyqxmd.com/read/29114060/ethics-rounds-death-after-pediatric-dental-anesthesia-an-avoidable-tragedy
#9
Helen Lee, Peter Milgrom, Colleen E Huebner, Philip Weinstein, Wylie Burke, Erika Blacksher, John D Lantos
Early childhood caries (ECC) is the single most common chronic childhood disease. In the treatment of ECC, children are often given moderate sedation or general anesthesia. An estimated 100 000 to 250 000 pediatric dental sedations are performed annually in the United States. The most common medications are benzodiazepines, opioids, local anesthetics, and nitrous oxide. All are associated with serious adverse events, including hypoxemia, respiratory depression, airway obstruction, and death. There is no mandated reporting of adverse events or deaths, so we don't know how often these occur...
December 2017: Pediatrics
https://www.readbyqxmd.com/read/28858557/inner-wall-detachment-of-the-spiral-tube-during-extubation-a-case-report
#10
Tomo Morota, Katsuya Endou, Hiroshi Omizo, Setsuo Furuta, Hisashi Miyajima
We report a case of endotracheal tube malfunction, in which the inner surface of the tube peeled off during anesthesia. The patient, a 7-year-old boy, was under general anesthesia for the treatment of multiple dental caries. The damaged tube could have caused respiratory failure, putting the patient's life at risk. We speculate that the use of nitrous oxide was one of the contributing factors to the inner wall detachment. Several additional lessons can be learned from this incident in order to prevent tube-related trouble during an operation...
December 0: Anesthesia Progress
https://www.readbyqxmd.com/read/28858552/nitrous-oxide-inhalation-sedation-through-a-nasal-high-flow-system-the-possibility-of-a-new-technique-in-dental-sedation
#11
Takuro Sanuki, Gaku Mishima, Kensuke Kiriishi, Shinji Kurata, Ichiro Okaysu, Mari Kawai, Toshihiro Watanabe, Mizuki Tachi, Nobuyasu Komasawa, Takao Ayuse
High-flow nasal cannula (HFNC) systems are increasingly used for patients with both acute and chronic respiratory failure because of the clinical effectiveness and patient comfort associated with their use. Recently, HFNC has been used not only as a respiratory support device, but also as a drug delivery system. HFNC is designed to administer heated and humidified inspiratory oxygen flows (100% relative humidity at 37°C). Therefore, HFNC can provide high flows (up to 60 L/min) without discomfort. Moreover, HFNC improves oxygenation by exerting physiologic effects such as (a) dead-space washout and (b) moderate positive airway pressure...
December 0: Anesthesia Progress
https://www.readbyqxmd.com/read/28718461/-multidisciplinary-treatment-approach-in-a-patient-with-a-severe-gag-reflex
#12
C Borsjé
A patient was referred to a centre for special care dentistry due to problems with a severe gag reflex and dental care-related anxiety. A regular treatment was started with gradual exposure in vivo in combination with breathing exercises, which involved the patient doing exercises at home. In addition, she was referred to an (external) speech therapist. During the treatment the patient suffered from pain in [molar] tooth 27 and a short-term solution was necessary. Regular treatment was not (yet) possible due to the existing severe gag reflex...
July 2017: Nederlands Tijdschrift Voor Tandheelkunde
https://www.readbyqxmd.com/read/28604098/nitrous-oxide-and-midazolam-sedation-a-systematic-review-and-meta-analysis
#13
Gowri Sivaramakrishnan, Kannan Sridharan
Nitrous oxide and midazolam have been used as sedative agents to decrease fear and anxiety associated with dental procedures. Although these agents have been widely used individually, the combination of the two is also commonly used. Four clinical trials were identified that compared the combination technique with the individual use of the drugs. The standardized mean difference (SMD) for each outcome measure was considered for final analysis. Three studies with 534 participants were included in the final meta-analysis, and the SMD [95% CI] was obtained as -0...
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/28492195/evaluation-of-nitrous-oxide-oxygen-and-triclofos-sodium-as-conscious-sedative-agents
#14
Priya Subramaniam, K L Girish Babu, Disha Lakhotia
BACKGROUND: Conscious sedation is used in the pediatric dentistry to reduce fear and anxiety in children and promote favorable treatment outcomes. To achieve them, the primary clinical need is for a well-tolerated, effective, and expedient analgesic and sedative agent that is safe to use. AIM: The aim of the present study was to evaluate the efficacy of nitrous oxide-oxygen and triclofos sodium as conscious sedative agents in 5-10-year-old children. METHODOLOGY: Sixty children aged 5-10 years showing anxious, uncooperative, and apprehensive behavior were randomly divided and assigned into two groups (Groups A and B) such that Group A received 40% nitrous oxide-60% oxygen and Group B received triclofos sodium in the dose of 70 mg/kg body weight, given 30 min before the treatment procedure...
April 2017: Journal of the Indian Society of Pedodontics and Preventive Dentistry
https://www.readbyqxmd.com/read/28437304/nitrous-oxide-utility-in-labor-and-birth-a-multipurpose-modality
#15
Michelle Collins
The use of nitrous oxide (N2O) for labor and birth has very recently emerged as a viable modality in the United States, despite a long history of use in Canada and Europe. Usually associated with dental procedures, there are significant differences between dental and parturition utility, efficacy, and staff exposure. In addition to using it for pain relief and anxiolysis, those centers utilizing it have noted it to be multipurpose and useful for such situations as: external cephalic version, manual removal of placenta, intravenous starts, during placement of urinary catheters and intracervical Foley bulbs...
April 2017: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/28338031/preoperative-analgesia-for-children-and-adolescents-to-reduce-pain-associated-with-dental-treatment
#16
Catherine McCann
Data sourcesCochrane Oral Health Group's Trials Register, the Cochrane Central Register of Controlled Trials (CENTRAL), Medline, Embase, LILACS, ISI Web of Science, ClinicalTrials.gov and the WHO International Clinical Trials Registry Platform.Study selectionRandomised controlled clinical trials of analgesics given before dental treatment versus placebo or no analgesics in children and adolescents up to 17 years of age. Children and adolescents having dental treatment under sedation (including nitrous oxide/oxygen) or general anaesthesia were excluded...
March 2017: Evidence-based Dentistry
https://www.readbyqxmd.com/read/28288298/detection-of-respiratory-adverse-events-in-pediatric-dental-patients-sedated-with-0-75mg-kg-of-midazolam-and-oxygen-by-continuous-pretracheal-auscultation-a-prospective-randomized-controlled-trial
#17
RANDOMIZED CONTROLLED TRIAL
Mostafa Somri, Ibrahim Matter, Christopher Hadjittofi, Naser Hoash, Bian Moaddi, Johnny Kharouba, Constantinos A Parisinos, Benjamin Peretz
PURPOSE: Sedation is becoming more commonplace for pediatric patients undergoing minor procedures. Fortunately, electronic monitors have contributed to a reduction in the associated respiratory adverse events (RAEs). To test the hypothesis that adding the pretracheal stethoscope (PTS) to standard monitoring methods (SMMs) may improve RAE detection in sedated pediatric dental patients, the frequency of RAEs detected by SMMs (i.e. visual observation, capnography, and pulse oximetry) was compared to that detected by SMMs alongside continuous PTS auscultation...
2017: Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/28206894/survey-of-american-academy-of-pediatric-dentistry-on-nitrous-oxide-and-sedation-20-years-later
#18
Stephen Wilson, Elizabeth S Gosnell
PURPOSE: The purpose of this study was to survey the membership of the American Academy of Pediatric Dentistry (AAPD) and determine the current status of nitrous oxide (N2O) utilization in their dental practices while also comparing the findings to a similar survey completed 20 years ago. METHODS: A 55-item questionnaire on the use of N2O was sent to the AAPD membership. RESULTS: The total number of respondents was 1,632 (26 percent). Sixty-two percent are board-certified, 97 percent use N2O in their office, 18 percent indicated greater than 80 percent of their patient pool required N2O versus six percent in 1996...
October 15, 2016: Pediatric Dentistry
https://www.readbyqxmd.com/read/28160984/the-2016-lewis-h-wright-memorial-lecture-america-s-doctor-anaesthetists-1862-1936-turning-a-tide-of-asphyxiating-waves
#19
George S Bause
Laughing-gas showman G.Q. Colton franchised dental extraction under 100% nitrous oxide in many large American cities before popularizing the practice with French Imperial Court dentist T.W. Evans in France and then England. Chicago dentist Z. Rogers helped surgeon E. Andrews oxygenate nitrous oxide, with neither man changing significantly the clinical practices of others. London's F.W. Hewitt and Pittsburgh's S.J. Hayes oxygenated anesthetics with greater clinical impact. By 1920, E.I. McKesson had publicized his practice of secondary saturation with bursts of 100% nitrous oxide to relax musculature in anesthetized patients...
January 2017: Journal of Anesthesia History
https://www.readbyqxmd.com/read/28128664/temperament-as-a-predictor-of-nitrous-oxide-inhalation-sedation-success
#20
Travis M Nelson, Thomas M Griffith, Katherine J Lane, Sarat Thikkurissy, JoAnna M Scott
Little is known about implications of temperament for children who receive nitrous oxide inhalation sedation (N2O/O2) for dental care. The aim of this study was to investigate whether child temperament is associated with success in N2O/O2. Child-caregiver dyads were enrolled from patients aged 36-95 months receiving dental care with N2O/O2 at a university-based pediatric dental clinic. To assess child temperament, 48 caregivers completed the Children's Behavior Questionnaire Short Form. Patient behavior was abstracted from Frankl scores recorded in the patient's chart...
2017: Anesthesia Progress
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