<原著>歯科における精神鎮静法の研究 : 第2報フルニトラゼパム静動脈内鎮静法の追加投与方法

概要

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When the maintenance of quiet was insufficient in the intravenous sedation with the flunitrazepam, an additional injection was necessary. Then, we made the reason for an additional injection standard and examined an additional medication method of the flunitrazepam. Subjects for the statistical study of the patients had dental treatment or operation consent to application flunitrazepam intravenous sedation, 28 cases of ASA class I or II patients. Flunitrazepam in intravenous injection by titration method, at first injection set up a standard 0.015mg/kg. More important, intravenous injection taking at least one minute for 1.0ml. As a result, the case which enforced one an additional injection was seen by 16 cases (57.1%) and cases which enforced the second additional injection were 10 cases (35.7%). The first time dosage was 0.016 mg/kg and 0.006 mg/kg was necessary for time and the amount of reaching two an additional injection respectively 0.0055 mg/kg and 59.5 minutes later from the first time beginning of dosage once 39.7 minutes later. Therefore, the necessity of an additional injection was suggested for the dental treatment which exceeded 60 minutes in the intravenous sedation with the flunitrazepam.
2000-06-30