Literature DB >> 35655051

Use of pulse oximetry during nitrous oxide- oxygen inhalation sedation: mandatory or recommended?

K Gupta1,2,3, R Chopra4, P Kulkarni5.   

Abstract

AIM: There is skepticism amongst many dentists about the interference of nitrous oxide with the physiological parameters. This commentary attempts to make clear recommendations on the use of pulse oximeter during nitrous oxide inhalation sedation.
BACKGROUND: Nitrous oxide is used commonly in dentistry as a tool to reduce fear/ anxiety and build a positive dental attitude. Dentists use pulse oximeter to monitor oxygen saturation during the period of administration of nitrous oxide. There is no consensus amongst various guidelines across the world on the necessity of using pulse oximeter during the period of administration of nitrous oxide
CONCLUSION: Pulse oximetry may not be considered mandatory when nitrous oxide gas is being administered for minimal sedation to a healthy patient having no pre- existing diseases/illness.
© 2022. The Author(s), under exclusive licence to European Academy of Paediatric Dentistry.

Entities:  

Keywords:  Hypoxemia; Nitrous oxide inhalation sedation; Oxygen saturation; Pulse oximeter

Mesh:

Substances:

Year:  2022        PMID: 35655051     DOI: 10.1007/s40368-022-00717-7

Source DB:  PubMed          Journal:  Eur Arch Paediatr Dent        ISSN: 1818-6300


  12 in total

1.  UK National Clinical Guidelines in Paediatric Dentistry. Managing anxious children: the use of conscious sedation in paediatric dentistry.

Authors:  M T Hosey
Journal:  Int J Paediatr Dent       Date:  2002-09       Impact factor: 3.455

2.  Has oxygen administration delayed appropriate respiratory care? Fallacies regarding oxygen therapy.

Authors:  John B Downs
Journal:  Respir Care       Date:  2003-06       Impact factor: 2.258

Review 3.  Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures.

Authors:  Charles J Coté; Stephen Wilson
Journal:  Pediatrics       Date:  2019-06       Impact factor: 7.124

4.  The oximeter: boon or bane?

Authors:  Bob Demers
Journal:  Chest       Date:  2004-11       Impact factor: 9.410

5.  Detection of hypoventilation.

Authors:  Douglas C Johnson
Journal:  Chest       Date:  2005-12       Impact factor: 9.410

6.  Prevention of hypoxemia: the simple, logical, but incorrect solution.

Authors:  J B Downs
Journal:  J Clin Anesth       Date:  1994 May-Jun       Impact factor: 9.452

7.  Supplemental oxygen impairs detection of hypoventilation by pulse oximetry.

Authors:  Eugene S Fu; John B Downs; John W Schweiger; Rafael V Miguel; Robert A Smith
Journal:  Chest       Date:  2004-11       Impact factor: 9.410

8.  Supplemental oxygen compromises the use of pulse oximetry for detection of apnea and hypoventilation during sedation in simulated pediatric patients.

Authors:  Ilan Keidan; Dietrich Gravenstein; Haim Berkenstadt; Amitai Ziv; Itay Shavit; Avner Sidi
Journal:  Pediatrics       Date:  2008-08       Impact factor: 7.124

Review 9.  Nitrous oxide and the inhalation anesthetics.

Authors:  Daniel E Becker; Morton Rosenberg
Journal:  Anesth Prog       Date:  2008

Review 10.  Best clinical practice guidance for conscious sedation of children undergoing dental treatment: an EAPD policy document.

Authors:  P Ashley; P Anand; K Andersson
Journal:  Eur Arch Paediatr Dent       Date:  2021-08-28
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