Sedative Effect of Nasal Midazolam-Ketamine at Different Doses on 3-6-year-old Uncooperative Dental Patients
Background: Midazolam and ketamine, either alone or in combination, are safe and effective in intranasal application among dental sedation routes. Objectives: This randomized clinical trial compares higher and lower-dose intranasal ketamine/midazolam cocktails in pediatric dentistry. Methods: This...
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| Format: | Article |
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Mazandaran University of Medical Sciences
2024-10-01
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| Series: | Journal of Pediatrics Review |
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| Online Access: | http://jpr.mazums.ac.ir/article-1-518-en.pdf |
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| author | Masoud Fallahinejad Ghajari Ghassem Ansari Mostafa Mohaveri Ahmad Eghbali Zarch Sajjad Razavi |
| author_facet | Masoud Fallahinejad Ghajari Ghassem Ansari Mostafa Mohaveri Ahmad Eghbali Zarch Sajjad Razavi |
| author_sort | Masoud Fallahinejad Ghajari |
| collection | DOAJ |
| description | Background: Midazolam and ketamine, either alone or in combination, are safe and effective in intranasal application among dental sedation routes.
Objectives: This randomized clinical trial compares higher and lower-dose intranasal ketamine/midazolam cocktails in pediatric dentistry.
Methods: This double-blind randomized clinical trial was conducted on 20 uncooperative children aged 3-6 years with a definitely negative Frankel scale. The participants were divided into two groups. Group A received 0.4 mg/kg midazolam and 4 mg/kg ketamine nasally 20 min before initiating dental treatment in the first session while receiving 0.5 mg/kg midazolam/ 3 mg/kg ketamine in the second session. Meanwhile, group B received the opposite drug sequence to assess any sequence effect. Dental treatment was initiated with local anesthesia administration. The sedation score was recorded using the Houpt scale. Vital signs were recorded at every 10-min intervals along with potential side effects. The data were analyzed using variance analysis and Wilcoxon and McNemar tests.
Results: No significant differences were noted in vital signs between groups at recording intervals (anesthetic injecting [P=0.719], 10 min [P=0.317] and 20 min [P=0.480]). No reports were received on post-treatment nausea (P=0.289).
Conclusions: There was no indication of a significant difference between groups tested with different drug doses, in support of lower ketamine dose as an effective yet safer approach to treat children. The parents were satisfied with their child’s calmness through both episodes of treatment. |
| format | Article |
| id | doaj-art-2dfec698d09045aa8c784d039b69a66b |
| institution | Kabale University |
| issn | 2322-4398 2322-4401 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Mazandaran University of Medical Sciences |
| record_format | Article |
| series | Journal of Pediatrics Review |
| spelling | doaj-art-2dfec698d09045aa8c784d039b69a66b2025-01-25T13:28:52ZengMazandaran University of Medical SciencesJournal of Pediatrics Review2322-43982322-44012024-10-01124377384Sedative Effect of Nasal Midazolam-Ketamine at Different Doses on 3-6-year-old Uncooperative Dental PatientsMasoud Fallahinejad Ghajari0Ghassem Ansari1Mostafa Mohaveri2Ahmad Eghbali Zarch3Sajjad Razavi4 Department of Pediatric Dentistry, Dental Research Center, School of Dentistry, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Department of Pediatric Dentistry, Dental Research Center, School of Dentistry, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Department of Pediatric Dentistry, Dental Research Center, School of Dentistry, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Department of Pediatric Dentistry, Dental Research Center, School of Dentistry, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Department of Anesthesiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Background: Midazolam and ketamine, either alone or in combination, are safe and effective in intranasal application among dental sedation routes. Objectives: This randomized clinical trial compares higher and lower-dose intranasal ketamine/midazolam cocktails in pediatric dentistry. Methods: This double-blind randomized clinical trial was conducted on 20 uncooperative children aged 3-6 years with a definitely negative Frankel scale. The participants were divided into two groups. Group A received 0.4 mg/kg midazolam and 4 mg/kg ketamine nasally 20 min before initiating dental treatment in the first session while receiving 0.5 mg/kg midazolam/ 3 mg/kg ketamine in the second session. Meanwhile, group B received the opposite drug sequence to assess any sequence effect. Dental treatment was initiated with local anesthesia administration. The sedation score was recorded using the Houpt scale. Vital signs were recorded at every 10-min intervals along with potential side effects. The data were analyzed using variance analysis and Wilcoxon and McNemar tests. Results: No significant differences were noted in vital signs between groups at recording intervals (anesthetic injecting [P=0.719], 10 min [P=0.317] and 20 min [P=0.480]). No reports were received on post-treatment nausea (P=0.289). Conclusions: There was no indication of a significant difference between groups tested with different drug doses, in support of lower ketamine dose as an effective yet safer approach to treat children. The parents were satisfied with their child’s calmness through both episodes of treatment.http://jpr.mazums.ac.ir/article-1-518-en.pdfmidazolamketamineintranasal sedationpediatric dentistry |
| spellingShingle | Masoud Fallahinejad Ghajari Ghassem Ansari Mostafa Mohaveri Ahmad Eghbali Zarch Sajjad Razavi Sedative Effect of Nasal Midazolam-Ketamine at Different Doses on 3-6-year-old Uncooperative Dental Patients Journal of Pediatrics Review midazolam ketamine intranasal sedation pediatric dentistry |
| title | Sedative Effect of Nasal Midazolam-Ketamine at Different Doses on 3-6-year-old Uncooperative Dental Patients |
| title_full | Sedative Effect of Nasal Midazolam-Ketamine at Different Doses on 3-6-year-old Uncooperative Dental Patients |
| title_fullStr | Sedative Effect of Nasal Midazolam-Ketamine at Different Doses on 3-6-year-old Uncooperative Dental Patients |
| title_full_unstemmed | Sedative Effect of Nasal Midazolam-Ketamine at Different Doses on 3-6-year-old Uncooperative Dental Patients |
| title_short | Sedative Effect of Nasal Midazolam-Ketamine at Different Doses on 3-6-year-old Uncooperative Dental Patients |
| title_sort | sedative effect of nasal midazolam ketamine at different doses on 3 6 year old uncooperative dental patients |
| topic | midazolam ketamine intranasal sedation pediatric dentistry |
| url | http://jpr.mazums.ac.ir/article-1-518-en.pdf |
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