Paediatric Sedation

Question 1

what is the definition of conscious sedation?

Answer 1

use of drug(s) producing a state of depression of CNS allowing tx to be carried out but verbal contact with pt is maintained throughout period of sedation.

Question 2

what are the 3 main key points during sedation for the pt?

Answer 2

1. remains conscious
2. retains protective reflexes
3. understands and responds to verbal commands

Question 3

what does MCDAS stand for?

Answer 3

Modified child dental anxiety scale

Question 4

what are the types of paediatric sedation?

Answer 4

inhalation
intravenous
alternative techniques (oral & transmucosal)

Question 5

what’s involved in inhalation sedation and what gases are used?

Answer 5

combination of pharmacology & behaviour management

Nitrous oxide + oxygen

Question 6

when should you STOP/NOT give more inhalation sedation to a pt?

Answer 6

child reports tingling/starts giggling becomes over excited

STOP if ears ringing or sore head

Question 7

how is IV sedation achieved and what drugs are used?

Answer 7

achieved by titration of appropriately selective sedative
- Midazolam
- Propofol