Lepere A J, Slack-Smith L M
Faculty of Dentistry, University of Sydney, Sydney, Australia.
Anesth Prog. 2002 Summer;49(3):77-81.
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.
由于静脉镇静相对于全身麻醉具有明显优势,包括恢复时间更短,因此在牙科领域已使用多年。然而,关于静脉牙科镇静恢复情况的文献有限,尤其是在私人全科牙科诊所环境中。本研究的目的是描述在私人牙科诊所进行镇静时的恢复时间,并考虑其与年龄、体重、手术类型和手术时间的关系。数据取自一位接受过全身麻醉培训的牙科医生的静脉镇静记录,该医生为西澳大利亚州珀斯市大都市区的多家私人全科牙科诊所提供门诊镇静服务。采用了标准化的静脉镇静技术以及明确的标准化出院标准。使用的镇静剂为芬太尼、咪达唑仑和丙泊酚。85名患者的结果显示平均恢复时间为19分钟。恢复时间与所进行的牙科手术类型或时长无关。