Abstract
Intravenous sedation has been used in dentistry for many years because of its perceived advantages over general anesthesia, including shorter recovery times. However, there is limited literature available on recovery from intravenous dental sedation, particularly in the private general practice setting. The aim of this study was to describe the recovery times when sedation was conducted in private dental practice and to consider this in relation to age, weight, procedure type, and procedure time. The data were extracted from the intravenous sedation records available with 1 general anesthesia-trained dental practitioner who provides ambulatory sedation services to a number of private general dental practices in the Perth, Western Australia Metropolitan Area. Standardized intravenous sedation techniques as well as clear standardized discharge criteria were utilized. The sedatives used were fentanyl, midazolam, and propofol. Results from 85 patients produced an average recovery time of 19 minutes. Recovery time was not associated with the type or length of dental procedures performed.
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- Aldrete J. A., Kroulik D. A postanesthetic recovery score. Anesth Analg. 1970 Nov-Dec;49(6):924–934. [PubMed] [Google Scholar]
- Chye E. P., Young I. G., Osborne G. A., Rudkin G. E. Outcomes after same-day oral surgery: a review of 1,180 cases at a major teaching hospital. J Oral Maxillofac Surg. 1993 Aug;51(8):846–849. doi: 10.1016/s0278-2391(10)80100-4. [DOI] [PubMed] [Google Scholar]
- Cohen M., Eisig S., Kraut R. A. Comparison of recovery of propofol and methohexital sedation using an infusion pump. Anesth Prog. 1996 Winter;43(1):9–13. [PMC free article] [PubMed] [Google Scholar]
- Fedok F. G., Ferraro R. E., Kingsley C. P., Fornadley J. A. Operative times, postanesthesia recovery times, and complications during sinonasal surgery using general anesthesia and local anesthesia with sedation. Otolaryngol Head Neck Surg. 2000 Apr;122(4):560–566. doi: 10.1067/mhn.2000.100495. [DOI] [PubMed] [Google Scholar]
- Gelfman S. S., Gracely R. H., Driscoll E. J., Butler D., Sweet J. B., Wirdzek P. R. Recovery following intravenous sedation during dental surgery performed under local anesthesia. Anesth Analg. 1980 Oct;59(10):775–781. [PubMed] [Google Scholar]
- Jones R. D., Chan K., Roulson C. J., Brown A. G., Smith I. D., Mya G. H. Pharmacokinetics of flumazenil and midazolam. Br J Anaesth. 1993 Mar;70(3):286–292. doi: 10.1093/bja/70.3.286. [DOI] [PubMed] [Google Scholar]
- Jorgensen N. B., Leffingwell F. Premedication in dentistry. J Philipp Dent Assoc. 1967 Sep;20(3):21–28. [PubMed] [Google Scholar]
- Makker R., Bailey P., Royston R., Kulinskaya E. Computerised dynamic posturography to assess recovery comparing general anaesthesia with sedation and local anaesthesia for day case nasal surgery. Anaesthesia. 2001 Nov;56(11):1097–1102. doi: 10.1046/j.1365-2044.2001.01962-2.x. [DOI] [PubMed] [Google Scholar]
- Ruiz K., Coldwell S. A., Hitchin N., Dresner-Black E. Propofol sedation in general dental practice: the first 100 patients. Dent Update. 2000 Jan-Feb;27(1):16-20, 22, 24. doi: 10.12968/denu.2000.27.1.16. [DOI] [PubMed] [Google Scholar]
- Runes J., Ström C. Midazolam intravenous conscious sedation in oral surgery. A retrospective study of 372 cases. Swed Dent J. 1996;20(1-2):29–33. [PubMed] [Google Scholar]
- Sandler N. A., Hodges J., Sabino M. Assessment of recovery in patients undergoing intravenous conscious sedation using bispectral analysis. J Oral Maxillofac Surg. 2001 Jun;59(6):603–612. doi: 10.1053/joms.2001.23366. [DOI] [PubMed] [Google Scholar]
- Shafer A., Doze V. A., Shafer S. L., White P. F. Pharmacokinetics and pharmacodynamics of propofol infusions during general anesthesia. Anesthesiology. 1988 Sep;69(3):348–356. doi: 10.1097/00000542-198809000-00011. [DOI] [PubMed] [Google Scholar]