SEDAÇÃO EM ODONTOPEDIATRIA: PERCEPÇÕES DE ACOMPANHANTES E EQUIPE PROFISSIONAL / Pediatric dental sedation: perceptions of childrens accompanying adults and a sedation team

AUTOR(ES)
DATA DE PUBLICAÇÃO

2008

RESUMO

The management of a childs behavior in a dental setting is routinely accomplished by a good communicative technique known as basic methods. Advanced me thods (protective stabilization, sedation, and general anesthesia) have been indicated for resistant children. When the basics methods are not enough to provide a safe and effective treatment, Brazilian dentists seem to prefer the protective stabilization to restrain a child. After the establishment of rules for nitrous oxide sedation in Brazil, a change in practice can be expected. In minimal and moderate sedation, patient can respond to every dental treatments stimulus with cry and struggle. The purpose of this study was to known the perceptions of sedation by accompanying adults and a sedation team. This was a qualitative research, based on three in-depth interviews with two groups of accompanying adults groups and one group of a dental sedation team. Interviews were transcribed verbatim and independently analyzed by three investigators through the thematic content method. The first analysis explored the ACCOMPANYING ADULTS SATISFACTION; two categories emerged: the good side (conscious, safety, satisfaction, behavior management) and the bad side (suffering, adverse effects) of pediatric dental sedation. The second analysis regarding the MEANINGS OF SEDATIONFOR ACCOMPANYING ADULTS generated FOUR categories: Protective stabilization (to bind, to protect on sedation), sedation (positive and negative side) , general anesthesia (positive point of a view) and mothers feelings (aversion peace, fair, security, motivation). Three categories emerged from the third interview about DENTAL TEAM PERCEPTIONS: knowledge (technique, indication, aim, amnesia, unexpected), disappointment (hopes, disappointment, depreciation), and difficulties (expense, accompanying adults and care teams opposition, tendency to be better). Accompanying adults did not accept physical restraint, but were satisfied with dental sedation despite its limitations and saw general anesthesia as an alternative method. The dental sedation team was aware of the sedations advantages and flaws, but was pessimist about the method

ASSUNTO(S)

physical restraint patient care team restrição física equipe de assistência ao paciente conscious sedation caregivers odontopediatria pediatric dentistry percepção cuidadores sedação consciente odontopediatria perception 1. sedação crianças 2. odontopediatria 3. anestesia pediátrica

ACESSO AO ARTIGO

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