Reaction times of children having nitrous oxide inhalation sedation for dental procedures.
Conscious sedation
Inhalation sedation
Nitrous oxide
Paediatric dentistry
Sedation
Journal
European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry
ISSN: 1996-9805
Titre abrégé: Eur Arch Paediatr Dent
Pays: England
ID NLM: 101277157
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
08
01
2019
accepted:
11
03
2019
pubmed:
18
3
2019
medline:
19
2
2020
entrez:
18
3
2019
Statut:
ppublish
Résumé
Inhalation sedation (IHS), using nitrous oxide and oxygen, is a commonly used form of pharmacological behaviour management in paediatric dentistry. Previous studies suggest that IHS causes a delay in reaction time, which recovers to baseline within 10 min. To observe the reaction times (RT) of children before and after undergoing IHS for dental treatment. Sixty children from clinics at St Thomas' Hospital (London, UK) participated in this observational study. RT was measured using an eight-point choice reaction time system (MOART computer panel, Lafayette Instruments). RT was measured twice: before (prior to patient entering clinic for treatment) and after (immediately after discharge from the clinic). A paired-samples t test was used to analyse data. Fifty-two patients completed the study. There was a statistically significant delay in RT after treatment (p = 0.022). There was no significant correlation between RT and concentration of nitrous oxide, or length of the recovery period. Children may have a small impairment in reaction times following recovery from IHS in the clinical setting, regardless of the strength of nitrous oxide given, or the length of the recovery period. The child's escort should be aware of the need to supervise the child following discharge.
Sections du résumé
BACKGROUND
BACKGROUND
Inhalation sedation (IHS), using nitrous oxide and oxygen, is a commonly used form of pharmacological behaviour management in paediatric dentistry. Previous studies suggest that IHS causes a delay in reaction time, which recovers to baseline within 10 min.
AIM
OBJECTIVE
To observe the reaction times (RT) of children before and after undergoing IHS for dental treatment.
DESIGN
METHODS
Sixty children from clinics at St Thomas' Hospital (London, UK) participated in this observational study. RT was measured using an eight-point choice reaction time system (MOART computer panel, Lafayette Instruments). RT was measured twice: before (prior to patient entering clinic for treatment) and after (immediately after discharge from the clinic). A paired-samples t test was used to analyse data.
RESULTS
RESULTS
Fifty-two patients completed the study. There was a statistically significant delay in RT after treatment (p = 0.022). There was no significant correlation between RT and concentration of nitrous oxide, or length of the recovery period.
CONCLUSION
CONCLUSIONS
Children may have a small impairment in reaction times following recovery from IHS in the clinical setting, regardless of the strength of nitrous oxide given, or the length of the recovery period. The child's escort should be aware of the need to supervise the child following discharge.
Identifiants
pubmed: 30879260
doi: 10.1007/s40368-019-00433-9
pii: 10.1007/s40368-019-00433-9
doi:
Substances chimiques
Anesthetics, Inhalation
0
Nitrous Oxide
K50XQU1029
Oxygen
S88TT14065
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
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