Faculty, Staff and Student Publications

Authors

    Language

    English

    Publication Date

    11-1-1985

    Journal

    Anesthesia Progress

    PMID

    3868306

    PMCID

    PMC2175420

    PubMedCentral® Posted Date

    November 1985

    PubMedCentral® Full Text Version

    Post-print

    Abstract

    The sedative and cardiovascular effects of rectally administered diazepam (0.6 mg/kg) were compared to placebo in uncooperative children who required sedation during dental treatment. Twelve healthy preschool children, who required amalgam restorations, were treated during two standardized restorative appointments in a double-blind, crossover study. Blood pressure and pulse were obtained during four specified intervals during the appointment. The behavior of the children during the treatment visits was videotaped and later statistically analyzed using a kinesics/vocalization instrument. Behavioral ratings of cooperation were significantly improved during the treatment visit following diazepam. All interfering bodily movements, patient vocalizations and operator commands for the diazepam group were reduced significantly (p≤0.0001). No significant differences were observed for noninterfering behavioral response. Rectally administered diazepam did not alter blood pressure or pulse significantly in these sedated children when compared to the placebo. These findings indicate that rectal diazepam is an effective sedative agent with minimal effect on the cardiovascular system for the management of the young pediatric dental patient.

    Keywords

    Anesthesia, Dental, Anesthesia, Rectal, Child, Preschool, Diazepam, Double-Blind Method, Heart, Hemodynamics, Humans, Placebos

    Included in

    Dentistry Commons

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