AI Article Synopsis

  • A 3-year-old child experienced over-sedation following the administration of intranasal midazolam and sufentanil for dental work.
  • The child's decreased oxygen levels were caused by laryngospasm, which required intervention with positive pressure ventilation and oxygen.
  • The sedation was successfully reversed using a combination of intranasal flumazenil and naloxone.

Article Abstract

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.

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http://dx.doi.org/10.1111/j.1460-9592.2009.03069_1.xDOI Listing

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