DISCUSSION
The management of paradoxical reaction should be done in a systematic manner. The procedure is stopped. Calm reassurance of the patient is initiated. If the patient is disinhibited, aggressive, and agitated, a diagnosis of paradoxical reaction should be considered. Administration of oxygen should be continued to avoid hypoxia. Flumazenil should be given as soon as [...]

Case 1
A 65-kg, 19-year-old African-American female presented in 1999. The patient had no significant medical or surgical history. Removal of symptomatic mandibular third molars was recommended. The patient was apprehensive regarding the extractions and requested sedation for the extraction of teeth nos. 1, 16, 17, and 32. The following week, the patient presented with her [...]

Since the discovery of the anesthetic properties of nitrous oxide by Horace Wells in 1844, the availability of anesthetic agents has considerably increased. The newer synthesized drugs have proved advantageous over the older agents. Benzodiazepines are used for their sedative, anxiolytic, amnesic, anticonvulsant drug, and muscle relaxant properties; however, they are associated with rare adverse [...]