Sedation vs. asleep - Page 2

[Denali]

Thanks for all that great information!! Very helpful and very appreciated!

Originally Posted by WuWei

The dangers of Chloral Hydrate are covered in that article. Chloral Hydrate is highly associated with children's deaths. Plain and simple, no way would I give this to my child when he is not under constant medical observation with oxygen saturation measurement. But, the respiratory depression effects can be lethal. This drug is even contra-indicated for sedation dentistry for children due to its risks.

I haven't had time to research the yahoo groups, will do that later today/tomorrow, but just a quick question:

I found Chloral hydrate as having the following trade names:
Aquachloral, Novo-Chlorhydrate, Somnos, Noctec, Somnote

Is that all , or are there other names? I.e. if I avoid the above, I avoid Chloral Hydrate?

Our ped dentist uses a "cocktail" of Midozalam and Hydroxizine, that stuff is NOT Chloral Hydrate, correct?

[WuWei]

The concern with out of hospital sedation is that the degree of anesthesia is beyond what the Am. Society of Anesthesiologists feel is safe or appropriate. Dentists call it "conscious sedation" but per the ASA that indicates that the child can respond to pain. Actually, for oral surgery the child may be fully sedated (unable to respond to deep painful stimuli) which is the equivalent to general anesthesia in a dental office!

When two drugs are used in a dental office, the risks of sedation are much greater. Ten times more pediatric deaths and serious adverse events than in hospital sedation with the same drugs according the research above. (linked in the Very Young Kids Teeth files)

I would not do in-office sedation dentistry with our son, if more than one drug were used. Nitrous oxide or Novocaine are counted in the studies as risk factors in combination sedation. The additive effect of multiple drugs at once, in pediatrics is unpredictable (and not well studied) and has had dangerous outcomes.


Chloral Hydrate= Trichloroacetaldehyde monohydrate
Tradenames: Aquachloral, Novo-Chlorhydrate, Somnos, Noctec, Somnote, Aquachloral Supprettes; PMS-Chloral Hydrate.AMERICAN ACADEMY OF PEDIATRICS Use of Chloral Hydrate For Sedation


http://aappolicy.aappublications.org...s;92/3/471.pdf
http://www.drugs.com/mmx/chloral-hydrate.html

Pat

[Otto]

Originally Posted by Denali

Our ped dentist uses a "cocktail" of Midozalam and Hydroxizine, that stuff is NOT Chloral Hydrate, correct?

Correct. (Chloral hydrate is also the ingredient in a classic Mickey Finn.)

[TCMoulton]

Originally Posted by Denali

Nope.....either take the bigger risk of GA or watch your child being "tortured" while under conscious sedation.....great choice

My daughter had dental work done under conscious sedation and she certainly was not tortured. She was conscious enough to respond to requests from the dentist to open her mouth, etc. but she was not upset, did not cry or fight, and has no memory of the procedure whatsoever. My husband sat in the chair holding her in his lap for the entire procedure and said that she was completely relaxed through the procedure. If you have a pediatric dentist who has experience with conscious sedation it really is a good option.

Oh and FWIW nitrous (which they tried before the sedation) did nothing for my daughter.

[Denali]

Hi TC,

could I get some more info?

How old is your daughter, what kind of drugs did your dentist use, and how long did the procedure (i.e. the work itself, not including the time it took to wait for the meds to kick in etc.) take....?

Just trying to relate to our case

[greenemami]

joining in...dd is nearly 33 months and needs 3 cavities filled and 3 more investigated. Have to make the decision between sedation in office versus GA. Our dentist said he would use Versed and Novacaine. ANyone have any information on that particular drug? I really just can't feel comfortable with the GA, but am not sure how sedated she will be in the office, and therefore how calm she might be through it. I am calling the dentist tomorrow to talk it over and hopefully make a decision, so I am reading all through the thread and would love to hear any information about Versed (which is the brand name for midazolam, I believe).

[baby-makes-3]

I found this link in an archived thread and thought it was extremely helpful to understand the different drugs used:

http://cyberdentist.blogspot.com/200...pediatric.html