北海道医療大学歯学部附属病院・インプラント歯科外来の局所麻酔手術症例に対する精神鎮静法の有効性の検討

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From November 2002 through December 2003, 20 cases of dental implant surgery under local anesthesia especially for outpatients with dental implants were subjected to monitored care conscious sedation. The induction of sedation by nitrous oxide (N_2O)・Midazolam, maintenance of sedation by N_2O・Midazolam or N_2O・Propofol, and their efficacy were studied. The efficacy of conscious sedation was verified after the procedure especially with respect to anti-anxiety effects, vital sign fluctuations, amnesic effects, and pain during operation and post-operatively, and also the status of use of sedatives and degree of patient satisfaction. The results show reduced increases in anxiety during the operation and that variations in the circulatory kinetics were suppressed. The frequency of complaints of pain during the operations was an average of 1.3 times. Cases exceeding 90 minutes of operation time recorded 70% complaints of pain. The pain was scored to be 24.1 points at the end of the operation and 24.2 points 2 hours after the procedure. The time experienced by the patients for the time required for conscious sedation was about 1/3, indicating satisfactory amnesic effects. The results of the questionnaire show that 93.8% of the patients expressed a wish for conscious sedation for the next surgery, showing the degree of satisfaction with the application of conscious sedation under local anesthesia to dental implant surgery to be very high. Providing conscious sedation by a surgeon and a dental anesthesiologist who accurately understand the characteristics of conscious sedation can promote and improve safety of dental implant surgery and the comfort level of the procedure.
北海道医療大学の論文

北海道医療大学歯学部附属病院・インプラント歯科外来の局所麻酔手術症例に対する精神鎮静法の有効性の検討

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