A comparison of midazolam and midazolam with remifentanil for patient-controlled sedation during operations on third molars

Garip, Hasan; Gürkan, Yavuz; Toker, Kamil; Göker, Kamil

doi:10.1016/j.bjoms.2006.06.002

Cited by 26 publications

(30 citation statements)

References 14 publications

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“…In the present study, the level of patient satisfaction at the end of dental implant surgery with conscious intravenous sedation was between agreeable and neither pleasant nor unpleasant for 52.2% of patients, and for 36.7% slightly uncomfortable. These results differ from Ganzberg et al (18) who obtained a mean of 84.1% patient satisfaction (evaluated on a visual analogue scale, from 0 to 100), and Garip et al (19) who found that 95% of patients expressed excellent satisfaction (evaluated as excellent, good and poor). In our study, the surgeon carried out implant placement under conscious intravenous sedation with adequate satisfaction, showing the patients relaxed and collaborative with the dentist.…”

Section: Discussioncontrasting

confidence: 74%

Relationship between preoperative anxiety and postoperative satisfaction in dental implant surgery with intravenous conscious sedation

González-Lemonnier¹,

Bovaira-Forner²,

Peñarrocha-Diago³

et al. 2010

Med Oral

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Section: Discussioncontrasting

confidence: 74%

Relationship between preoperative anxiety and postoperative satisfaction in dental implant surgery with intravenous conscious sedation

González-Lemonnier¹,

Bovaira-Forner²,

Peñarrocha-Diago³

et al. 2010

Med Oral

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“…In the study by Parworth et al (5), oxygen saturation remained at over 99% in all surgeries. Garip et al (13), administered only midazolam in one group and midazolam with remifentanil in another during operations on third molars. They observed that none of the midazolam only group had saturation below 97%, and in the midazolam with remifentanil group 10 of 20 patients had saturation below 95%.…”

Section: Resultsmentioning

confidence: 99%

Hemodynamic and ventilatory changes during implant surgery with intravenous conscious sedation

González-Lemonnier¹,

Bovaira-Forner²,

Peñarrocha-Diago³

et al. 2011

Med Oral

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Purpose: This study was conducted to determine the hemodynamic and ventilatory changes during implant surgery with intravenous conscious sedation, and whether preoperative anxiety, gender or age influence these parameters. Patients and Methods: A prospective study carried out between May 2004 and February 2007, on 102 patients treated with dental implants under local anesthesia and conscious intravenous sedation. Patients completed a questionnaire prior to surgery to evaluate preoperative dental anxiety using Corah's scale. The hemodynamic and ventilatory changes were evaluated by monitoring systolic pressure (SP), diastolic pressure (DP), heart rate (HR) and oxygen saturation (SaO2). These values were collected at 5 points during surgery; before commencing the operation (baseline value), during local anesthetic injection, at the moment of incision and raising of a mucoperiosteal flap, during implant placement, and finally at suturing. Intravenous conscious sedation was administered between baseline value and injection of the local anesthetic. Results: The highest SP and DP were recorded at baseline and at suturing. The highest HR was recorded at the moment of incision and raising of the mucoperiosteal flap; the lowest SaO2 was recorded at local anesthetic injection. There was no relationship between hemodynamic and ventilatory values and preoperative anxiety or gender. A greater age was associated with higher SP and lower SaO2, these differences being statistically significant. Conclusions: Most of the cardiovascular and ventilatory changes induced by the implant surgery with intravenous conscious sedation were within normal ranges. The results indicate that midazolam with fentanyl do not produce important hemodynamic and ventilatory changes, being a good association for intravenous conscious sedation in dental implant surgery.

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“…Midazolam causes anterograde amnesia, which slowly decreases with time [15]. Previous reports indicate that midazolam causes a slight reduction in systolic and diastolic BP and a slight increase in HR, but that these changes are neither statistically significant nor clinically relevant [14]. There can be a slight decrease in arterial BP, cardiac output, and peripheral vascular resistance, but there may be an increase in HR.…”

Section: Discussionmentioning

confidence: 98%

Hemodynamics during intravenous conscious sedation

Gadicherla¹,

Kamath²,

Muthanna³

et al. 2014

Egyptian Journal of Oral & Maxillofacial Surgery

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Aim Our study aimed to evaluate the hemodynamic parameters during conscious sedation.Materials and methods A retrospective study was carried out on 55 patients who had been treated for dental conditions under conscious intravenous sedation. Conscious sedation was performed either with propofol or midazolam with fentanyl. The local anesthetic (lignocaine) was administered once good sedation had been achieved in all patients with a vasoconstrictor. Data on blood pressure (BP), heart rate (HR), and oxygen saturation (SpO 2 ) levels were obtained at 12 different levels. ResultsOnly 48 patients had complete data on hemodynamic parameters. With respect to the mean HR, no significant difference was observed at baseline, at sedation, and at injection of the local anesthetic, whereas significantly higher mean HR was observed in the midazolam group at the time of incision, during the surgery, suturing, and recovery. The mean BP was significantly higher in the midazolam group at all the intervals. The mean SpO 2 was significantly higher for midazolam at baseline, 20 min during the surgery, and during suturing. At all other intervals, there was no significant difference in the mean SpO 2 between both groups. The mean HR varied with time in the propofol group, whereas no significant difference was observed in the midazolam group (P = 0.027 and 0.108), respectively. The mean BP varied with time in both groups (P < 0.001 and <0.001), respectively. The mean SpO 2 varied with time in the midazolam group, whereas no significant difference was observed in the propofol group (P = 0.033 and 0.177), respectively.Conclusion Both drugs appear to be safe and efficacious for intravenous conscious sedation. Egypt J Oral

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A comparison of midazolam and midazolam with remifentanil for patient-controlled sedation during operations on third molars

Cited by 26 publications

References 14 publications

Relationship between preoperative anxiety and postoperative satisfaction in dental implant surgery with intravenous conscious sedation

Relationship between preoperative anxiety and postoperative satisfaction in dental implant surgery with intravenous conscious sedation

Hemodynamic and ventilatory changes during implant surgery with intravenous conscious sedation

Hemodynamics during intravenous conscious sedation

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