Complications associated with intravenous midazolam and fentanyl sedation in patients undergoing minor oral surgery
Issued Date
2018
Resource Type
Language
eng
Rights
Mahidol University
Rights Holder(s)
Department of Quality Development Mahidol University
Suggested Citation
Krittika Saiso, Pornnarin Adnonla, Pornnarin Adnonla, Benjamas Apipan, Duangdee Rummasak, Natthamet Wongsirichat (2018). Complications associated with intravenous midazolam and fentanyl sedation in patients undergoing minor oral surgery. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/71579
Title
Complications associated with intravenous midazolam and fentanyl sedation in patients undergoing minor oral surgery
Other Contributor(s)
Abstract
BACKGROUND: Anxiety control remains an important
concern in dental practice. We evaluated the incidence, nature,
and sequelae of complications during and after minor oral
surgeries performed under intravenous midazolam and fentanyl
sedation using the titration technique. METHODS: The medical
records of patients who had undergone minor oral surgeries under
moderate intravenous midazolam and fentanyl sedation at our
institution between January 1, 2015 and December 31, 2015 were
retrospectively evaluated. Age, sex, body mass index, medical
history, American Society of Anesthesiologists (ASA) classification,
indications for sedation, amount of sedative used, surgical
duration, and recovery time were evaluated for all patients.
RESULTS: In total, 107 patients aged 9-84 years were included.
ASA class I and class II were observed for 56.1% and 43.9%
patients, respectively. Complications associated with sedation
occurred in 11 (10.2%) patients. There were no serious adverse
events. Oxygen saturation reached 95% during the procedure in
six patients; this was successfully managed by stimulating the
patients to take a deep breath. Two patients exhibited deep
sedation and one exhibited paradoxical excitement. After the
procedure, one patient experienced nausea without vomiting and
one exhibited a prolonged recovery time. The surgical procedures
were completed in all patients. Obesity was found to be
significantly associated with sedation-related complications.
Description
Mahidol Quality Fair 2018 “Valuing People : คุณค่าคน คุณค่างาน”. Prince Mahidol Hall Mahidol University Salaya,
Nakhon Pathom. November 27, 2018. page 197