The Journal of the American Dental Association
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J Am Dent Assoc, Vol 119, No 1, 153-156.
© 1989 American Dental Association
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Journal of the American Dental Association, Vol 119, Issue 1, 153-156
Copyright © 1989 by American Dental Association

Journal Article

The respiratory effects of drugs used for conscious sedation and general anesthesia



DE Becker
Allied Health Sciences, Sinclair Community College, Dayton, OH 45402.

This review article illustrates that all medications used for conscious sedation can depress ventilation. The dental practitioner should not abandon the use of these agents to control fear and anxiety during dental treatment; rather, the dentist should administer the agents cautiously and monitor respiratory status throughout the dental procedure. In this regard, pulse oximetry is a welcomed advance in monitoring as it acts to warn the unknowing clinician that he is approaching a "cliff" (the steep portion of the oxyhemoglobin curve).


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Council on Scientific Affairs, Y. D. Coble Jr, A. B. Eisenbrey, E. H. Estes Jr, M. S. Karlan, W. R. Kennedy, P. J. Numann, W. C. Scott, W. D. Skelton, R. M. Steinhilber, et al.
The Use of Pulse Oximetry During Conscious Sedation
JAMA, September 22, 1993; 270(12): 1463 - 1468.
[Abstract] [PDF]


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