Lachgassedierung in der Zahnmedizin

Lernziele

Nach dem Durcharbeiten des Artikels sollte der Leser

• die minimale, moderate und tiefe Sedierung unterscheiden und von der Vollnarkose abgrenzen können,

• wichtige pharmakologische Eigenschaften und Wirkungen von Lachgas kennen,

• für die Lachgassedierung geeignete Patienten identifizieren können,

• die Sedierungstiefe eines Patienten einschätzen sowie

• praxisrelevante Vor- und Nachteile der Methode erkennen können.

• Literaturverzeichnis

• 1 Donaldson M et al. Nitrous oxide-oxygen administration: when safety features no longer are safe. J Am Dent Assoc 2012; 143: 134-143
• 2 Malamed S. Sedation: a guide to patient management. 5th edition. Mosby/Elsevier, Canada. 2010; 179-189
• 3 McGregor DG et al. Trace nitrous oxide levels in the postanesthesia care unit. Anesth Analg 1999; 89: 472-475
• 4 Dunn-Russell T et al. Oxygen saturation and diffusion hypoxia in children following nitrous oxide sedation. Pediatr Dent 1993; 15: 88-92
• 5 Lockwood AJ, Yang YF. Nitrous oxide inhalation anaesthesia in the presence of intraocular gas can cause irreversible blindness. Br Dent J 2008; 204: 247-248
• 6 Sisty-LePeau N et al. Use, need and desire for pain control procedures by Iowa hygienists. J Dent Hyg 1992; 66: 137-146
• 7 Ohashi Y et al. Brain stem opioidergic and GABAergic neurons mediate the antinociceptive effect of nitrous oxide in Fischer rats. Anesthesiology 2003; 99: 947-954
• 8 Poorsattar SP. Recognizing and managing dental fears: anxiolysis from the perspective of a dental student. J Dent Educ 2010; 74: 397-401
• 9 Rosen M. Hypnotic induction and nitrous oxide sedation in children. J Dent Assoc S Afr 1983; 38: 371-372
• 10 Waters BG. Providing dental treatment for patients with cardiovascular disease. Ont Dent 1995; 72: 24-32
• 11 Nader et al. Middle ear pressure changes after nitrous oxide anesthesia and its effect on postoperative nausea and vomiting. Laryngoscope 2004; 114: 883-886
• 12 Nilson-Ehle H. Age-related changes in cobalamin (vitamin B12) handling. Implications for therapy. Drugs Aging 1998; 12: 277-292
• 13 Allen WA. Nitrous oxide in the surgery: pollution and scavenging. Some clinical experiences. British Dental Journal 1985; 159: 222-230
• 14 Donat SM, Levy DA. Bleomycin associated pulmonary toxicity: is perioperative oxygen restriction necessary?. J Urol 1998; 160: 1347-1352
• 15 Wong DH et al. Factors associated with post-operative pulmonary complications in patients with severe chronic obstructive pulmonary disease. Anesth Analg 1995; 80: 276-284
• 16 Wang YC et al. Dental anesthesia for patients with special needs. Acta Anaesthesiol Taiwan 2012; 50: 122-125