Clinical Impact of Local Anesthesia on Sedation Stability and Propofol Dosage in Pediatric Dental Sedation

Merve Hayriye Kocaoglu; Çağıl Vural; Betül Büşra Ursavaş

Makale detayları

Clinical Impact of Local Anesthesia on Sedation Stability and Propofol Dosage in Pediatric Dental Sedation

Yazarlar:

Merve Hayriye Kocaoglu | Çağıl Vural | Betül Büşra Ursavaş

Yayıncı:

Ankara University

Ana Başlıklar:

Paedodontics

Dergi:

European Annals of Dental Sciences Vol.51 Issue 3, pp.96-101

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001335172

pISSN:

2757-6744

Anahtar kelimeler:

Özet:

 Background: Local anesthesia LA is often preferred for stabilization of vital signs, depth of anesthesia and pain control in dental restorations but the efficacy of LA administration during deep sedation is controversial. Aim: To retrospectively investigate the effects of LA on heart rate, blood pressure, oxygen saturation, depth of anesthesia and total dose of anesthetic drugs given in pediatric patients sedated for dental procedures. Materials  Methods: Records of 50 healthy children were divided into two groups: Patients who received infiltration LA at the beginning of sedation Early LA or who received LA at the end of sedation after completion of restorations Late LA. Demographic data, hemodynamic data, Bispectral Index BIS scores, Ramsey Sedation Scale scores, total propofol dose administered were compared. Since the difference between two quantitative dependent variables did not meet the assumptions of normal distribution, Wilcoxon Signed Rank test was used. Generalized Estimation Models were used to look at the effect of quantitative variables with repeated measures BIS and Ramsey on groups. Results: There was no statistically significant difference between the groups in terms vital signs, depth of anesthesia BIS p0.190 and Ramsey score p0.887, and total propofol dose adjusted for BMI p0.59. Conclusion: The presence of LA during deep dental sedation has no significant impact on vital signs, depth of anesthesia and total amount of propofol used compared to the absence of LA. LA does not contribute to stabilization of dental sedation, but close monitoring of deep sedation prevents drug overdose.

 Background: Local anesthesia LA is often preferred for stabilization of vital signs, depth of anesthesia and pain control in dental restorations but the efficacy of LA administration during deep sedation is controversial. Aim: To retrospectively investigate the effects of LA on heart rate, blood pressure, oxygen saturation, depth of anesthesia and total dose of anesthetic drugs given in pediatric patients sedated for dental procedures. Materials  Methods: Records of 50 healthy children were divided into two groups: Patients who received infiltration LA at the beginning of sedation Early LA or who received LA at the end of sedation after completion of restorations Late LA. Demographic data, hemodynamic data, Bispectral Index BIS scores, Ramsey Sedation Scale scores, total propofol dose administered were compared. Since the difference between two quantitative dependent variables did not meet the assumptions of normal distribution, Wilcoxon Signed Rank test was used. Generalized Estimation Models were used to look at the effect of quantitative variables with repeated measures BIS and Ramsey on groups. Results: There was no statistically significant difference between the groups in terms vital signs, depth of anesthesia BIS p0.190 and Ramsey score p0.887, and total propofol dose adjusted for BMI p0.59. Conclusion: The presence of LA during deep dental sedation has no significant impact on vital signs, depth of anesthesia and total amount of propofol used compared to the absence of LA. LA does not contribute to stabilization of dental sedation, but close monitoring of deep sedation prevents drug overdose.

 Background: Local anesthesia LA is often preferred for stabilization of vital signs, depth of anesthesia and pain control in dental restorations but the efficacy of LA administration during deep sedation is controversial. Aim: To retrospectively investigate the effects of LA on heart rate, blood pressure, oxygen saturation, depth of anesthesia and total dose of anesthetic drugs given in pediatric patients sedated for dental procedures. Materials  Methods: Records of 50 healthy children were divided into two groups: Patients who received infiltration LA at the beginning of sedation Early LA or who received LA at the end of sedation after completion of restorations Late LA. Demographic data, hemodynamic data, Bispectral Index BIS scores, Ramsey Sedation Scale scores, total propofol dose administered were compared. Since the difference between two quantitative dependent variables did not meet the assumptions of normal distribution, Wilcoxon Signed Rank test was used. Generalized Estimation Models were used to look at the effect of quantitative variables with repeated measures BIS and Ramsey on groups. Results: There was no statistically significant difference between the groups in terms vital signs, depth of anesthesia BIS p0.190 and Ramsey score p0.887, and total propofol dose adjusted for BMI p0.59. Conclusion: The presence of LA during deep dental sedation has no significant impact on vital signs, depth of anesthesia and total amount of propofol used compared to the absence of LA. LA does not contribute to stabilization of dental sedation, but close monitoring of deep sedation prevents drug overdose.

 Background: Local anesthesia LA is often preferred for stabilization of vital signs, depth of anesthesia and pain control in dental restorations but the efficacy of LA administration during deep sedation is controversial. Aim: To retrospectively investigate the effects of LA on heart rate, blood pressure, oxygen saturation, depth of anesthesia and total dose of anesthetic drugs given in pediatric patients sedated for dental procedures. Materials  Methods: Records of 50 healthy children were divided into two groups: Patients who received infiltration LA at the beginning of sedation Early LA or who received LA at the end of sedation after completion of restorations Late LA. Demographic data, hemodynamic data, Bispectral Index BIS scores, Ramsey Sedation Scale scores, total propofol dose administered were compared. Since the difference between two quantitative dependent variables did not meet the assumptions of normal distribution, Wilcoxon Signed Rank test was used. Generalized Estimation Models were used to look at the effect of quantitative variables with repeated measures BIS and Ramsey on groups. Results: There was no statistically significant difference between the groups in terms vital signs, depth of anesthesia BIS p0.190 and Ramsey score p0.887, and total propofol dose adjusted for BMI p0.59. Conclusion: The presence of LA during deep dental sedation has no significant impact on vital signs, depth of anesthesia and total amount of propofol used compared to the absence of LA. LA does not contribute to stabilization of dental sedation, but close monitoring of deep sedation prevents drug overdose.

Makale detayları

Clinical Impact of Local Anesthesia on Sedation Stability and Propofol Dosage in Pediatric Dental Sedation

Yazarlar:

Merve Hayriye Kocaoglu | Çağıl Vural | Betül Büşra Ursavaş

Yayıncı:

Ankara University

Ana Başlıklar:

Paedodontics

Dergi:

European Annals of Dental Sciences Vol.51 Issue 3, pp.96-101

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001335172

pISSN:

2757-6744

dental sedation

pediatric anesthesia

propofol

local anesthesia

monitoring

Sayı

Makale detayları

Clinical Impact of Local Anesthesia on Sedation Stability and Propofol Dosage in Pediatric Dental Sedation

Yazarlar: Merve Hayriye Kocaoglu | Çağıl Vural | Betül Büşra Ursavaş

Yayıncı: Ankara University

Ana Başlıklar: Paedodontics

Dergi: European Annals of Dental Sciences Vol.51 Issue 3, pp.96-101

Belge Tipi: Makale

Yayın Tarihi: 12/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001335172

pISSN: 2757-6744

dental sedation

pediatric anesthesia

propofol

local anesthesia

monitoring

Sayı

Yazarlar:

Merve Hayriye Kocaoglu | Çağıl Vural | Betül Büşra Ursavaş

Yayıncı:

Ankara University

Ana Başlıklar:

Paedodontics

Dergi:

European Annals of Dental Sciences Vol.51 Issue 3, pp.96-101

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001335172

pISSN:

2757-6744