Format

Send to

Choose Destination
See comment in PubMed Commons below
Br Dent J. 2003 Jan 11;194(1):43-5.

Patient-maintained sedation for oral surgery using a target-controlled infusion of propofol - a pilot study.

Author information

1
Glasgow Dental Hospital and School, Glasgow. leitch@bigfoot.com

Abstract

OBJECTIVE:

To assess the safety and efficacy of a new patient-maintained propofol system for conscious sedation in dentistry.

DESIGN:

Prospective clinical trial

SETTING:

Department of Sedation, Glasgow Dental Hospital and School, 2001

SUBJECTS AND METHODS:

Patients scheduled for oral surgery with conscious sedation. Exclusions included ASA IV -V, inability to use the handset, opioid use and severe respiratory disease.

INTERVENTIONS:

Patients were given intravenous propofol to a level of 1.0 microg/ml (reducing from 1.5 microg/ml) using a target controlled infusion system, they then controlled their sedation level by double-clicking a handset which on each activation increased the propofol concentration by 0.2 microg/ml.

MAIN OUTCOME MEASURES:

Oxygen saturation, patient satisfaction, and surgeon satisfaction.

RESULTS:

Twenty patients were recruited, 16 female and four male. Nineteen patients completed sedation and treatment successfully. Mean lowest oxygen saturation was 94%. No patients were over-sedated. All patients successfully used the system to maintain a level of sedation adequate for their comfort. Patient and surgeon satisfaction were consistently high.

CONCLUSIONS:

Initial experience with this novel system has confirmed safety, patient satisfaction and surgeon satisfaction.

PMID:
12540939
DOI:
10.1038/sj.bdj.4802412
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Nature Publishing Group
    Loading ...
    Support Center