My preschooler chipped his front tooth and because of his age and temperament the dentist has recommended IV sedation while she works on him. (Not doing anything is not an option; I doubt I could hold him still and force him to keep his mouth open if not sedated.) She has a doctor who is board certified in both pediatrics and pediatric anesthesiology come in to do the work in the dentist's office. This doctor has been doing this for over 15 years at many different dental offices and has never had a situation in which a child had to be transported to a hospital. I've been in contact with the doctor/anesthesiologist about the drugs used for sedation, and she told me that she starts with Midazolam (Versed) and Ketamine (either in the IV or in a pre-IV shot, depending upon the kid's behavior), and then follows that with Robinal and Propofol. If need be she also uses Nubain and Brevital.
I've looked into these drugs and from what I can gather Midazolam (Versed) serves as a sedative, hypnotic, muscle relaxant, and creates amnesia. It also has been linked with some nasty negative reactions.
Ketamine induces anesthesia, is an analgesic, and is hallucinogenic (for better or for worse).
Robinal reduces various bodily secretions, including saliva.
Propofol induces and maintains anesthesia.
Nubain provides pain relief (if I'm not mistaken it's the one of the pain relievers they'll give you in labor if you are not too fully dilated).
Brevital induces anesthesia.
I'm nervous about the whole procedure of course, but the drug I'm most nervous about is Versed, as a portion of the population evidently reacts poorly to it. When I asked the anesthesiologist specifically about it she said that while it can have unpleasant adverse reactions in some people, she doesn't see them since it is used with other drugs. She suggested that perhaps they are there but are covered up by the deep sedation so it is not a problem.
So, opinions from other folks out there - have you used IV sedation? Were those the drugs used (if you know)? Did it go ok? Would you allow the specific drugs above to be used on your kid? Why or why not? Know of any good alternatives? Have I correctly listed why they are used?
Thanks for any help you can provide!