Department of Anesthesiology and Reanimation, Faculty of Medicine, Blacksea Technical University, Trabzon, Turkey.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 Nov;114(5):592-6. doi: 10.1016/j.oooo.2012.03.008. Epub 2012 Aug 15.
This study evaluated the failure and complication rates of sedation in ambulatory patients undergoing oral and maxillofacial surgery.
This retrospective cohort study was carried out among 619 patients who had undergone maxillofacial surgical procedures under intravenous sedation with midazolam and fentanyl. Each patient's age, American Society of Anesthesiologists (ASA) classification, systemic condition, surgical procedure, complications, and failures were recorded for evaluation.
A total of 400 patients with ASA I, 199 with ASA II, and 20 with ASA III between the ages of 9 months and 84 years were included in the study. The most common systemic disorders in our patients were mental retardation (35%), hypertension (19%), and epilepsy (15%). Evaluation of the cases revealed 9 complications (1.4%) and 9 sedation failures (1.4%). The complications were bradycardia, postoperative agitation and hallucination, drug reaction, vomiting and nausea, desaturation, and hypotension.
Our results in the oral and maxillofacial surgery clinic revealed low complication and failure rates.
本研究评估了在门诊接受口腔颌面外科手术的患者中镇静的失败和并发症发生率。
本回顾性队列研究纳入了 619 名接受咪达唑仑和芬太尼静脉镇静的口腔颌面外科手术的患者。记录每位患者的年龄、美国麻醉医师协会（ASA）分级、全身状况、手术过程、并发症和失败情况以进行评估。
研究共纳入了年龄在 9 个月至 84 岁之间的 400 名 ASA I 级、199 名 ASA II 级和 20 名 ASA III 级患者。我们患者中最常见的全身疾病是智力迟钝（35%）、高血压（19%）和癫痫（15%）。对病例的评估显示有 9 例并发症（1.4%）和 9 例镇静失败（1.4%）。并发症包括心动过缓、术后激越和幻觉、药物反应、呕吐和恶心、血氧饱和度下降和低血压。
我们在口腔颌面外科诊所的结果显示并发症和失败率较低。
