Strap him down or knock him out: Is conscious sedation with restraint an alternative to general anaesthesia?

Abstract:

:When confronting a defiant or pre-co-operative young patient with extensive dental decay the dentist must decide between treatment under conscious sedation with passive restraint or general anaesthesia. Although some practitioners prefer to attempt and exhaust sedative techniques in most cases and use general anaesthesia as a last resort, many others do not mandate that alternate approaches first be attempted before treating under general anaesthesia and routinely recommend it as their first choice. What are the considerations involved in this decision-making process? Should the use of conscious sedation with restraint be revisited and perhaps even be considered the preferred method? What is the role of the dentist in the decision-making process? The purpose of this opinion-based paper is to present to the UK dentist a dilemma that paediatric dentists face in the US and in other countries as well and allow the reader to establish an opinion.

journal_name

Br Dent J

journal_title

British dental journal

authors

Kupietzky A

doi

10.1038/sj.bdj.4810932

subject

Has Abstract

pub_date

2004-02-14 00:00:00

pages

133-8

issue

3

eissn

0007-0610

issn

1476-5373

pii

4810932

journal_volume

196

pub_type

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