Intravenous sedation accompanied with fentanyl is effective for intramaxillary fixation in trauma patients

Abstract

Operation of intramaxillary fixation that is required treatment of jaw fracture require long operation time, where intravenous sedation is adaptable to operation of intramaxillary fixation. Four cases were performed anesthesia and systemic management by author anesthesiologists. Anesthesia record was studied about adverse event (body movement, hemodynamic changes and pain complaint) in each case. Four patients classed in ASA physical status I. In intravenous sedation case using sedative or pentazocine combining sedative, hemodynamic changes and body movement were observed during operation. In intravenous sedation or systemic management cases of using fentanyl, body movement and hemodynamics changes were not observed during operation. Glossoptosis and hypopnea were not observed in four cases.The sedation is inhibited, if pain control is insufficient. The pain control using local anesthetic is difficult for pain of intramaxillary fixation operation. Fentanyl, specialized analgesic by high selectivity with μ receptor, is useful for operation of intramaxillary fixation, because local anesthetic is not provided enough analgesia.In conclusion, in intravenous sedation for intramaxillary fixation operation, the full agonist opioid such as the fentanyl, specialized in analgesia, is useful to provide enough analgesia.