Abstract |
Persons with intellectual disability have difficulty in cooperating with outpatient care, and many are referred for general anaesthesia. Intellectual disability has traditionally been a contraindication for conscious sedation. We evaluated the behavioural impact, effectiveness, and tolerance of sedation in this population using a fixed 50% nitrous oxide/ oxygen mixture as a single agent. We used dental treatment as a model of outpatient care; 349 patients (192 males, 157 females; mean age 22y [SD 14]; range 3-81y) were recruited over a 12-month period at seven centres. Sedation was deemed successful if planned dental treatment was completed. Behaviour was scored with the modified Venham scale. Out of 605 sessions, 91.4% were successful. No serious adverse effects occurred. Minor adverse events (such as nausea) occurred in 10.1% of sessions. We conclude that the use of safe and effective conscious sedation may reduce the indications for general anaesthesia.
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Authors | Denise Faulks, Martine Hennequin, Sylvie Albecker-Grappe, Marie-Cécile Manière, Corinne Tardieu, Annie Berthet, Maryse Wolikow, Dominique Droz, Serge Koscielny, Peter Onody |
Journal | Developmental medicine and child neurology
(Dev Med Child Neurol)
Vol. 49
Issue 8
Pg. 621-5
(Aug 2007)
ISSN: 0012-1622 [Print] England |
PMID | 17635209
(Publication Type: Clinical Trial, Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't)
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Chemical References |
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Anesthesia, Dental
- Child
- Child, Preschool
- Dental Anxiety
(prevention & control)
- Disabled Persons
(psychology)
- Female
- Humans
- Longitudinal Studies
- Male
- Middle Aged
- Nitrous Oxide
- Outpatients
- Oxygen
- Tooth Diseases
(psychology, therapy)
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