| Patient-controlled sedation with propofol in minor oral surgery. | |
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MedLine Citation:
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PMID: 14699549 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: We sought to evaluate the benefits of patient-controlled sedation with propofol for minor oral surgery. PATIENTS AND METHODS: After instructions were given on how to use the technique, 28 male and 24 female patients sedated themselves during minor oral surgery with titrating 18-mg bolus doses of propofol with a lockout period of 1 minute. RESULTS: Surgery lasted from 5 to 29 minutes; 28 patients were moderately and 17 were deeply sedated. Seven patients were oversedated. All of those who were oversedated responded to commands within 1 minute of being unresponsive and continued to obtain increments of propofol. Vital signs were stable in all patients even during oversedation. Eighteen patients were talkative, and 17 complained of pain along the vein. Operating conditions were good in 38, fair in 12, and poor in 2. The majority, 48 patients, were relaxed, and 47 were willing to undergo the sedation technique again. Ten had total, 22 had partial, and 20 had no amnesia. CONCLUSIONS: Relaxed patients, good operating conditions, and quick recovery of oversedated patients without unstable vital signs provide evidence that propofol has favorable pharmacokinetic and pharmacodynamic properties for patient-controlled sedation. This study also highlights the importance of close monitoring of patients during patient-controlled sedation. |
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Authors:
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Chandra Rodrigo; Michael G Irwin; Bill S W Yan; Man Hei Wong |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons Volume: 62 ISSN: 0278-2391 ISO Abbreviation: J. Oral Maxillofac. Surg. Publication Date: 2004 Jan |
Date Detail:
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Created Date: 2003-12-30 Completed Date: 2004-02-03 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8206428 Medline TA: J Oral Maxillofac Surg Country: United States |
Other Details:
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Languages: eng Pagination: 52-6 Citation Subset: AIM; D; IM |
Affiliation:
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Department of Anaesthesiology, University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong, People's Republic of China. rodrigo@hkusua.hku.hk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Analgesia, Patient-Controlled* Anesthesia Recovery Period Anesthesia, Dental / methods* Anesthetics, Intravenous / administration & dosage* Conscious Sedation / methods Female Humans Male Oral Surgical Procedures / methods* Overdose Propofol / administration & dosage* |
| Chemical | |
Reg. No./Substance:
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0/Anesthetics, Intravenous; 2078-54-8/Propofol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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