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Article: Patient-Controlled Sedation with Propofol in Minor Oral Surgery

TitlePatient-Controlled Sedation with Propofol in Minor Oral Surgery
Authors
Issue Date2004
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/joms
Citation
Journal Of Oral And Maxillofacial Surgery, 2004, v. 62 n. 1, p. 52-56 How to Cite?
AbstractPurpose: 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. © 2004 American Association of Oral and Maxillofacial Surgeons.
Persistent Identifierhttp://hdl.handle.net/10722/145529
ISSN
2015 Impact Factor: 1.631
2015 SCImago Journal Rankings: 0.824
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorRodrigo, Cen_HK
dc.contributor.authorIrwin, MGen_HK
dc.contributor.authorYan, BSWen_HK
dc.contributor.authorWong, MHen_HK
dc.date.accessioned2012-02-28T01:53:15Z-
dc.date.available2012-02-28T01:53:15Z-
dc.date.issued2004en_HK
dc.identifier.citationJournal Of Oral And Maxillofacial Surgery, 2004, v. 62 n. 1, p. 52-56en_HK
dc.identifier.issn0278-2391en_HK
dc.identifier.urihttp://hdl.handle.net/10722/145529-
dc.description.abstractPurpose: 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. © 2004 American Association of Oral and Maxillofacial Surgeons.en_HK
dc.languageengen_US
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jomsen_HK
dc.relation.ispartofJournal of Oral and Maxillofacial Surgeryen_HK
dc.subject.meshAnalgesia, Patient-Controlled-
dc.subject.meshAnesthesia, Dental - methods-
dc.subject.meshAnesthetics, Intravenous - administration and dosage-
dc.subject.meshOral Surgical Procedures - methods-
dc.subject.meshPropofol - administration and dosage-
dc.titlePatient-Controlled Sedation with Propofol in Minor Oral Surgeryen_HK
dc.typeArticleen_HK
dc.identifier.emailIrwin, MG:mgirwin@hku.hken_HK
dc.identifier.authorityIrwin, MG=rp00390en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.joms.2003.04.004en_HK
dc.identifier.pmid14699549-
dc.identifier.scopuseid_2-s2.0-0346334456en_HK
dc.identifier.hkuros85541en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0346334456&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume62en_HK
dc.identifier.issue1en_HK
dc.identifier.spage52en_HK
dc.identifier.epage56en_HK
dc.identifier.isiWOS:000187884900011-
dc.publisher.placeUnited Statesen_HK

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