Pedodontics

Nitrous Oxide Details

Concentration:

• Start: 10-20% N₂O
• Therapeutic: 30-50% N₂O
• Maximum: 70% N₂O (rare)

Contraindications:

• Recent eye surgery (gas bubbles)
• Respiratory infections
• Pregnancy (first trimester)
• Severe behavioral disorders

Oral Sedatives

1. Chloral Hydrate

   • Dose: 25-75 mg/kg
   • Onset: 30-60 minutes
   • Duration: 2-4 hours

2. Midazolam

   • Dose: 0.25-0.5 mg/kg PO
   • Onset: 15-30 minutes
   • Advantage: Reversible with flumazenil