Morbidity and Mortality Involving Pediatric Dental
Sedation: Non-Compliance Following Sedation
Guidelines by John E. Nathan in Juniper in OAJS
This editorial serves to discuss the tragic occurrence of morbidity and mortalities reported with the use of pediatric dental sedation and its
etiological factors. Literally thousands of in-office sedations for management of varying levels of childhood dental anxiety and uncooperative
behavior are performed successfully on a daily basis throughout the U.S. Since 1985, safety guidelines which describe expectations and
responsibilities of pediatric dental specialists to insure patient safety have been in place. These guidelines have been reviewed and updated by
multiple health care disciplines since their inception. To date, when guidelines are implicitly followed, no reports of morbidity and mortality
have been presented. In recent years, constraints have been placed by various state and institutional settings on the use of a few agents with
long track records of safety due to misuse. One agent in particular has been removed from the marketplace and production for reasons related
to excessive/inappropriate dosing. Non-compliance with safety guidelines appears to remain the common denominator across multiple levels
to account for sedation mishaps. Suggestions are made to enhance favorable outcomes and minimize and eliminate adverse reactions and
mismanagement.
https://juniperpublishers.com/oajs/pdf/OAJS.MS.ID.555552.pdf
https://juniperpublishers.com/oajs/OAJS.MS.ID.555552.php
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