鼻内给予氟马西尼和纳洛酮以逆转一名正在接受牙齿修复的儿童的过度镇静。
Intranasal flumazenil and naloxone to reverse over-sedation in a child undergoing dental restorations.
作者信息
Heard Christopher, Creighton Paul, Lerman Jerrold
机构信息
Department of Pediatric Anesthesiology, Women & Children's Hospital of Buffalo, Buffalo, NY 14222, USA.
出版信息
Paediatr Anaesth. 2009 Aug;19(8):795-7; discussion 798-9. doi: 10.1111/j.1460-9592.2009.03069_1.x.
We describe a 3-year-old child who became over-sedated after receiving intranasal (IN) midazolam (0.53 mg.kg(-1)) and IN sufentanil (1 mcg.kg(-1)) for dental restorations in the dental office. Desaturation was attributed to laryngospasm, which was managed with positive pressure ventilation and oxygen. The sedation was reversed with a combination of IN flumazenil and naloxone.
我们描述了一名3岁儿童，在牙科诊所接受鼻内（IN）咪达唑仑（0.53 mg·kg⁻¹）和IN舒芬太尼（1 mcg·kg⁻¹）进行牙齿修复后出现过度镇静。低氧血症归因于喉痉挛，通过正压通气和给氧进行处理。使用IN氟马西尼和纳洛酮联合用药逆转了镇静状态。
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