8 - Paediatric sedation Flashcards
1
Q
How do patient factors affect sedation?
A
- understanding (need to understand the procedure)
- cooperation
- coping style (monitor v blunter)
2
Q
How does a monitor cope?
A
- like to know all the details
- not as amenable to sedation
3
Q
How does a blunter cope?
A
- doesn’t want to know what’s happening
- more amenable to sedation
4
Q
What tool is used to assess a child’s anxiety?
A
- MCDASf
- modified child dental anxiety scale with faces
5
Q
What are the different methods of anxiety management?
A
- non pharmacological behaviour management
- LA
- sedation
- GA
6
Q
What are the indications for IS in children?
A
- age (need to understand commands and amenable to hypnotic suggestion)
- anxiety level
- management of gag reflex
- medical considerations
- PDH
- dental needs
7
Q
What are the contraindications of IS in children?
A
- too young (4/5 years)
- extreme phobia
- learning difficulties
- dental treatment on upper anteriors can be difficult due to nasal hood
- patient choice
8
Q
What IV sedative drug is more commonly used in children?
A
Propofol
9
Q
What are the indications of IV sedation in children?
A
- adolescents
- phobic patients
- medical considerations
- PDH
- dental needs
10
Q
What are the contraindications of IV sedation in children?
A
- children under 12
- those who are needle phobic (cannulation)
- medical considerations
11
Q
What is TCI sedation?
A
Target controlled infusion
