In this concluding section, several groups of patients for whom the management of pain and anxiety require greater attention are discussed. For these patients the overall risks of unwanted drug effects, acute medical problems, and unsuccessful results are greater than in other groups. For these patients, too, the rewards for successful treatment (in terms of personal satisfaction and accomplishment) are infinitely greater.
The pediatric patient represents a group in which the various techniques of sedation and general anesthesia are frequently required. However, pediatric patients cannot be treated as though they were simply small adults. Drug dosages usually must be altered to meet the specific needs of the child patient. Unfortunately, a disproportionate number of the serious problems that have occurred in association with the use of sedative techniques in dental and medical outpatient practices over the past few years have occurred in the pediatric patient.1,2 In Chapter 35, drugs and techniq/>