J Dent Anesth Pain Med.  2016 Mar;16(1):9-15. 10.17245/jdapm.2016.16.1.9.

Pediatric advanced life support and sedation of pediatric dental patients

• Kim J

• KMID: 2308760
• DOI: http://doi.org/10.17245/jdapm.2016.16.1.9

Abstract

Programs provided by the Korea Association of Cardiopulmonary Resuscitation include Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Korean Advanced Life Support (KALS). However, programs pertinent to dental care are lacking. Since 2015, related organizations have been attempting to develop a Dental Advanced Life Support (DALS) program, which can meet the needs of the dental environment. Generally, for initial management of emergency situations, basic life support is most important. However, emergencies in young children mostly involve breathing. Therefore, physicians who treat pediatric dental patients should learn PALS. It is necessary for the physician to regularly renew training every two years to be able to immediately implement professional skills in emergency situations. In order to manage emergency situations in the pediatric dental clinic, respiratory support is most important. Therefore, mastering professional PALS, which includes respiratory care and core cases, particularly upper airway obstruction and respiratory depression caused by a respiratory control problem, would be highly desirable for a physician who treats pediatric dental patients. Regular training and renewal training every two years is absolutely necessary to be able to immediately implement professional skills in emergency situations.

Keyword

Advanced Cardiac Life Support (ACLS), Dental Advanced Life Support (DALS); Dental Sedation; Pediatric Advanced Life Support (PALS); Pediatric Dentistry

MeSH Terms

Advanced Cardiac Life Support
Airway Obstruction
Cardiopulmonary Resuscitation
Child
Dental Care
Dental Clinics
Emergencies
Humans
Korea
Pediatric Dentistry
Respiration
Respiratory Insufficiency

Figure

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  Fig. 1 Pathways in pediatric cardiac arrest [16].

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  Fig. 2 Evaluate-identify-intervene sequence.

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  Fig. 3 PALS system approach algorithm [16]. PALS, Pediatric Advanced Life Support.

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  Fig. 4 Pediatric cardiac arrest algorithm [16].

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