ISSN : 0376-4672
많은 환자는 치과 진료 중 불안과 공포를 경험하게되고 이러한 불안과 공포는 치과 진료를 기피하게 하는 주된 원인이 된다1). 치과 진료를 위한 진정이 필요한 환자의 평가와 투약, 환자감시, 회복에 관여하는모든 의료인들은 환자의 안전을 최우선으로 진료를 해야 한다.시술 시 진정 및 진통(Procedural sedation and analgesia, PSA)의 목적은 환자의 공포,불안, 고통을 감소시키고 육체적인 불편함과 고통,정신적 외상을 최소화하며 환자의 안전에 가해지는 위협을 예방하고 안전하게 퇴원할 수 있는 상태로 환자를회복시키는 것이다.
Apprehension and phobia regarding dental procedures are represent the most common deterrents in patients seeking dental care and very common. For these individuals, and others who cannot cooperateduring care, procedural sedation may permit completion of intraoralprocedures. In mostcases, the level of sedation may be kept at minimal to moderate levels permitting patient maintenance of their airway patency and ventilation. Unlike many medical procedures, the majority of dental procedures, no matter the depth of sedation, are performed in the presence ofcomplete analgesia provided by local anesthesia. Therefore, the goal of procedural sedation is to primarily suppress patient fear and apprehensionand gain cooperation. Any issues regarding actual pain are usually limited to that produced by the local anesthetic injections or, rarely, theextent of the procedure. For the extremely phobic patient, however, allaying apprehension may be very challenging. Intravenous titration of sedative drugs is the most effective route of administration to achieve this goal but requires advanced training beyond that provided in undergraduate training.
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