Pediatric Sedation
Jeffrey D. Bennett, DMD
Jeffrey B. Dembo, DDS, MS
Kevin J. Butterfield, DDS, MD



The anesthetic management of the pediatric
patient presents the oral and maxillofacial
surgeon with unique and different
challenges from those with an adult
patient. The surgeon must be aware of
anatomic and physiologic differences,
different pharmacokinetics and pharmacodynamics
of most medications, and
the unique psychological development of
the child and his or her corresponding
ability to cope with the stress of the surgical
experience. As the child matures,
changes in these parameters occur; therefore,
an understanding of the growth and
maturation of the pediatric patient dictates
the selection of the anesthetic technique
and medications used in the
patient’s management.

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