Department of Dental Anesthesiology and Special Care Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Department of Dental Anesthesiology, Okayama University Hospital, Okayama, Japan.
Anesth Prog. 2023 Jun 1;70(2):85-87. doi: 10.2344/anpr-70-01-01.
The Patient State Index (PSI) is the numerical value of anesthesia depth as measured using a SedLine Sedation Monitor (Masimo Corporation). In this pilot study, we evaluated PSI values captured during intravenous (IV) moderate sedation for dental treatment. During the dental treatment, a dental anesthesiologist maintained the Modified Observer's Assessment of Alertness/Sedation (MOAA/S) score at 3 to 4 by adjusting the administration of midazolam and propofol while PSI values were recorded. The mean (SD) and median (25th percentile, 75th percentile) PSI values during dental treatment under IV moderate sedation were 72.7 (13.6) and 75 (65, 85), respectively.
患者状态指数(PSI)是使用 SedLine 镇静监测仪(Masimo 公司)测量的麻醉深度的数值。在这项初步研究中,我们评估了在接受静脉(IV)中度镇静的情况下用于牙科治疗时捕获的 PSI 值。在牙科治疗过程中,一名牙科麻醉师通过调整咪达唑仑和丙泊酚的给药量,将改良的观察者警觉/镇静评分(MOAA/S)维持在 3 到 4 分,同时记录 PSI 值。在 IV 中度镇静下接受牙科治疗时,PSI 值的平均值(标准差)和中位数(25 百分位数,75 百分位数)分别为 72.7(13.6)和 75(65,85)。