ABSTRACT
We compared the amnesic action, recovery process, and satisfaction of patients and surgeons after the use of 2 different sedation regimens for 40 patients undergoing scheduled implant surgery. Butorphanol, midazolam, dexmedetomidine (BMD) was administered to 20 patients who were maintained with continuous infusion of dexmedetomidine after the induction with butorphanol and midazolam, and butorphanol, midazolam, propofol (BMP) was administered to 20 patients who were maintained with continuous infusion of propofol after the induction with butorphanol and midazolam. To assess the amnesic action, the memory of local anesthesia, auditory memory, and visual memory were evaluated. The Trieger Dot Test (TDT) was applied during the recovery process. A questionnaire regarding the patient's feelings of the management of sedation was taken from each patient and was also filled out by the surgeon. The comparison between groups was analyzed by the Mann-Whitney U test. No significant differences in the amnesic action and the TDT were noted. Both methods also satisfied the patients and surgeons, as determined by the questionnaire results. In conclusion, both sedation regimens are appropriate for implant surgery.
Subject(s)
Anesthesia, Dental/methods , Conscious Sedation/methods , Dental Implantation, Endosseous , Hypnotics and Sedatives/administration & dosage , Analgesics, Opioid/administration & dosage , Anesthesia Recovery Period , Anesthesia, Local , Anesthetics, Combined/administration & dosage , Anesthetics, Intravenous/administration & dosage , Butorphanol/administration & dosage , Dental Implants , Dexmedetomidine/administration & dosage , Double-Blind Method , Female , Humans , Infusions, Intravenous , Male , Memory/drug effects , Mental Recall/drug effects , Midazolam/administration & dosage , Middle Aged , Operative Time , Patient Satisfaction , Postural Balance/drug effects , Propofol/administration & dosage , Psychomotor Performance/drug effects , Treatment OutcomeABSTRACT
Local anesthetics are commonly used in both dentistry and medicine. These drugs are also used in some office-based medical practices. Except for minor procedures, most physicians who require complicated nerve blocks rely on anesthesiologists to administer the local anesthesia. Both ester and amide local anesthetics are routinely used in medical practice. This article reviews the types and uses of local anesthesia in anesthesiology.