Comparison of patient-controlled and operator-controlled conscious sedation for restorative dentistry

Abstract

This study shows that patient-controlled sedation is a suitable alternative to operator-controlled sedation in the management of anxious dental patients.

Closed claims review of anesthesia for procedures outside the operating room

“…A new trend is patient-controlled intravenous sedation and analgesia [37][38][39] using various drugs ranging from midazolam to remifentanil, and programmable pump techniques ranging from target-controlled infusions to bolus dose pumps with lockouts. Patient control groups The proportion of claims for temporary/nondisabling permanent injuries was decreased and claims for death increased (MP < 0.01) in NORA claims.…”

“…Ã P < 0.05 NORA vs. operating room claims (Z-test). may use higher doses of midazolam during the procedure, but a higher number of this group felt relaxed [39]. Again, reducing the intensity of stimulation may leave the patient with residual drug effects that depress ventilation.…”

Conscious Sedation Procedures Using Intravenous Midazolam for Dental Care in Patients with Different Cognitive Profiles: A Prospective Study of Effectiveness and Safety

“…Titration also reduces the risk of under- or over- sedation by allowing the clinician to obtain the desired level of sedation for each individual patient and for the type of treatment planned. Studies using intravenous midazolam in anxious patients have reported high success rates (evaluated by the percentage of planned dental treatment performed) without serious complication during oral surgery and dental treatment [3], [14], [15]. However, the level of cooperation or anxiety of the patient over the sessions has never been reported.…”

A Randomized Controlled Trial Comparing Patient-Controlled and Physician-Controlled Sedation in the Emergency Department

“…However, previous research has indicated that PCS may enhance satisfaction by conferring a sense of control over an unpleasant stimulus. 23 Observational studies confirm that patients experience high levels of satisfaction when they have a degree of control over their own sedation and, if given the option, would preferentially use PCS again. 15 Some patients, however, are anxious about the prospect and decline participation.…”