Research Article| Volume 27, ISSUE 2, P169-176, February 1969

The use of nitrous oxide, oxygen, and trichlorethylene for outpatient pediatric dental anesthesia

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      Trilene is a nonflammable, easy-to-inhale anesthetic agent that provides the excellent signs of anesthesia needed to administer light surgical anesthesia with the precise control required for use on an outpatient basis. Trilene's potent analgesic action, plus the limited degree of other properties one expects from a general anesthetic, makes it an ideal agent for oral surgical procedures on the pediatric outpatient.
      Endotracheal intubation is not desirable for outpatient anesthesia, and its use should be limited to emergency situations. A nasopharyngeal tube provides a valuable aid for dealing with upper airway obstructions and has few of the hazards of endotracheal intubation.
      If light surgical anesthesia is employed, Trilene has very few complications, of which tachypnea is the most common. The rapid breathing is a sign of an overdose and is easily corrected by decreasing the concentration of the anesthetic agent. Because of its depressant effect on the myocardium and its tendency to produce arrhythmias, catecholamines should not be used during Trilene anesthesia. The reaction of Trilene with alkali absorbents limits its use to a non-rebreathing system.
      Preoperative medication is seldom necessary unless a belladonna drug is to be used to control the flow of secretion. Also, a complete blood count and urinalysis are valuable in determining the preoperative physical status of the patient.
      When administered by a qualified anesthetist with prior training in both hospital and outpatient anesthesia, Trilene provides an excellent anesthetic for oral surgical procedures on pediatric outpatients.
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