Evaluation of a new effect‐site controlled, patient‐maintained sedation system in dental patients
Summary We have designed a new effect‐site controlled, patient‐maintained sedation system for delivering propofol. In the previous systems we developed, the patients retained the use of the handset throughout the procedure and were able to increase the level of sedation. However, it was found that t...
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| Veröffentlicht in: | Anaesthesia 2006-04, Vol.61 (4), p.345-349 |
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| creator | Chapman, R. M. Anderson, K. Green, J. Leitch, J. A. Gambhir, S. Kenny, G. N. C. |
| description | Summary
We have designed a new effect‐site controlled, patient‐maintained sedation system for delivering propofol. In the previous systems we developed, the patients retained the use of the handset throughout the procedure and were able to increase the level of sedation. However, it was found that this could potentially lead to oversedation. In the present system, the patients were able to increase their level of sedation until a level was reached that was judged by the patients as being adequate to allow them to tolerate the injection of dental local anaesthetic. The handset was then taken from the patients and the effect site concentration of propofol was maintained at that level for the remainder of the procedure. To assess its safety and efficacy, the system was used to sedate 40 patients presenting for dental procedures under sedation. The system was used successfully and treatment was completed in 39 patients. The system was found to be safe. Both surgeon and patient approval scores were high. Although this study demonstrates the efficacy of effect‐site controlled, patient‐maintained propofol sedation in this group of patients, further work is required to confirm its safety. |
| doi_str_mv | 10.1111/j.1365-2044.2006.04544.x |
| format | Article |
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We have designed a new effect‐site controlled, patient‐maintained sedation system for delivering propofol. In the previous systems we developed, the patients retained the use of the handset throughout the procedure and were able to increase the level of sedation. However, it was found that this could potentially lead to oversedation. In the present system, the patients were able to increase their level of sedation until a level was reached that was judged by the patients as being adequate to allow them to tolerate the injection of dental local anaesthetic. The handset was then taken from the patients and the effect site concentration of propofol was maintained at that level for the remainder of the procedure. To assess its safety and efficacy, the system was used to sedate 40 patients presenting for dental procedures under sedation. The system was used successfully and treatment was completed in 39 patients. The system was found to be safe. Both surgeon and patient approval scores were high. Although this study demonstrates the efficacy of effect‐site controlled, patient‐maintained propofol sedation in this group of patients, further work is required to confirm its safety.</description><identifier>ISSN: 0003-2409</identifier><identifier>EISSN: 1365-2044</identifier><identifier>DOI: 10.1111/j.1365-2044.2006.04544.x</identifier><identifier>PMID: 16548953</identifier><identifier>CODEN: ANASAB</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Analgesia, Patient-Controlled - methods ; Anesthesia ; Anesthesia, Dental - methods ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Conscious Sedation - methods ; Cooperative Behavior ; Dental research ; Female ; Humans ; Hypnotics and Sedatives - administration & dosage ; Male ; Medical sciences ; Middle Aged ; Oral Surgical Procedures ; Oxygen - blood ; Patient safety ; Patient Satisfaction ; Propofol - administration & dosage ; Self Administration</subject><ispartof>Anaesthesia, 2006-04, Vol.61 (4), p.345-349</ispartof><rights>2006 INIST-CNRS</rights><rights>2006 The Authors Journal compilation 2006 The Association of Anaesthetists of Great Britain and Ireland</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4564-9214065ee80bf45adb7a8ec9673baa147062a2669eef869868bc324793152ec03</citedby><cites>FETCH-LOGICAL-c4564-9214065ee80bf45adb7a8ec9673baa147062a2669eef869868bc324793152ec03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2044.2006.04544.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2044.2006.04544.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17595454$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16548953$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chapman, R. M.</creatorcontrib><creatorcontrib>Anderson, K.</creatorcontrib><creatorcontrib>Green, J.</creatorcontrib><creatorcontrib>Leitch, J. A.</creatorcontrib><creatorcontrib>Gambhir, S.</creatorcontrib><creatorcontrib>Kenny, G. N. C.</creatorcontrib><title>Evaluation of a new effect‐site controlled, patient‐maintained sedation system in dental patients</title><title>Anaesthesia</title><addtitle>Anaesthesia</addtitle><description>Summary
We have designed a new effect‐site controlled, patient‐maintained sedation system for delivering propofol. In the previous systems we developed, the patients retained the use of the handset throughout the procedure and were able to increase the level of sedation. However, it was found that this could potentially lead to oversedation. In the present system, the patients were able to increase their level of sedation until a level was reached that was judged by the patients as being adequate to allow them to tolerate the injection of dental local anaesthetic. The handset was then taken from the patients and the effect site concentration of propofol was maintained at that level for the remainder of the procedure. To assess its safety and efficacy, the system was used to sedate 40 patients presenting for dental procedures under sedation. The system was used successfully and treatment was completed in 39 patients. The system was found to be safe. Both surgeon and patient approval scores were high. Although this study demonstrates the efficacy of effect‐site controlled, patient‐maintained propofol sedation in this group of patients, further work is required to confirm its safety.</description><subject>Adult</subject><subject>Analgesia, Patient-Controlled - methods</subject><subject>Anesthesia</subject><subject>Anesthesia, Dental - methods</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Conscious Sedation - methods</subject><subject>Cooperative Behavior</subject><subject>Dental research</subject><subject>Female</subject><subject>Humans</subject><subject>Hypnotics and Sedatives - administration & dosage</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Oral Surgical Procedures</subject><subject>Oxygen - blood</subject><subject>Patient safety</subject><subject>Patient Satisfaction</subject><subject>Propofol - administration & dosage</subject><subject>Self Administration</subject><issn>0003-2409</issn><issn>1365-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcuKFDEUhoMoTjv6ChIEXVlt7peN0AytDgwzG12HVOoUVJNKtZUqZ3rnI_iMPsmk7NYBNxoIOXC-83PChxCmZE3LebdbU65kxYgQa0aIWhMhS3n3CK3-NB6jFSGEV0wQe4ae5bwjhDJDzVN0RpUUxkq-QrD95uPsp25IeGixxwluMbQthOnn9x-5mwCHIU3jECM0b_G-kJCWVu-7NJULDc7QHAPyIU_Q4y7hpkA-_sbzc_Sk9THDi9N7jr582H6--FRd3Xy8vNhcVUFIJSrLqCBKAhhSt0L6ptbeQLBK89p7KjRRzDOlLEBrlDXK1IEzoS2nkkEg_By9Oebux-HrDHlyfZcDxOgTDHN2SmulqOT_BKmmRgqmCvjqL3A3zGMqn3DUaq41Y6xA5giFcch5hNbtx67348FR4hZhbucWL27x4hZh7pcwd1dGX57y57qH5mHwZKgAr0-Az8HHdvQpdPmB09LKklW490futotw-O8F3OZ6s11Kfg-VLrKp</recordid><startdate>200604</startdate><enddate>200604</enddate><creator>Chapman, R. M.</creator><creator>Anderson, K.</creator><creator>Green, J.</creator><creator>Leitch, J. A.</creator><creator>Gambhir, S.</creator><creator>Kenny, G. N. C.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7T2</scope><scope>7U2</scope><scope>7X8</scope></search><sort><creationdate>200604</creationdate><title>Evaluation of a new effect‐site controlled, patient‐maintained sedation system in dental patients</title><author>Chapman, R. M. ; Anderson, K. ; Green, J. ; Leitch, J. A. ; Gambhir, S. ; Kenny, G. N. C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4564-9214065ee80bf45adb7a8ec9673baa147062a2669eef869868bc324793152ec03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Analgesia, Patient-Controlled - methods</topic><topic>Anesthesia</topic><topic>Anesthesia, Dental - methods</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Conscious Sedation - methods</topic><topic>Cooperative Behavior</topic><topic>Dental research</topic><topic>Female</topic><topic>Humans</topic><topic>Hypnotics and Sedatives - administration & dosage</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Oral Surgical Procedures</topic><topic>Oxygen - blood</topic><topic>Patient safety</topic><topic>Patient Satisfaction</topic><topic>Propofol - administration & dosage</topic><topic>Self Administration</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chapman, R. M.</creatorcontrib><creatorcontrib>Anderson, K.</creatorcontrib><creatorcontrib>Green, J.</creatorcontrib><creatorcontrib>Leitch, J. A.</creatorcontrib><creatorcontrib>Gambhir, S.</creatorcontrib><creatorcontrib>Kenny, G. N. 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A.</au><au>Gambhir, S.</au><au>Kenny, G. N. C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of a new effect‐site controlled, patient‐maintained sedation system in dental patients</atitle><jtitle>Anaesthesia</jtitle><addtitle>Anaesthesia</addtitle><date>2006-04</date><risdate>2006</risdate><volume>61</volume><issue>4</issue><spage>345</spage><epage>349</epage><pages>345-349</pages><issn>0003-2409</issn><eissn>1365-2044</eissn><coden>ANASAB</coden><abstract>Summary
We have designed a new effect‐site controlled, patient‐maintained sedation system for delivering propofol. In the previous systems we developed, the patients retained the use of the handset throughout the procedure and were able to increase the level of sedation. However, it was found that this could potentially lead to oversedation. In the present system, the patients were able to increase their level of sedation until a level was reached that was judged by the patients as being adequate to allow them to tolerate the injection of dental local anaesthetic. The handset was then taken from the patients and the effect site concentration of propofol was maintained at that level for the remainder of the procedure. To assess its safety and efficacy, the system was used to sedate 40 patients presenting for dental procedures under sedation. The system was used successfully and treatment was completed in 39 patients. The system was found to be safe. Both surgeon and patient approval scores were high. Although this study demonstrates the efficacy of effect‐site controlled, patient‐maintained propofol sedation in this group of patients, further work is required to confirm its safety.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>16548953</pmid><doi>10.1111/j.1365-2044.2006.04544.x</doi><tpages>5</tpages></addata></record> |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE; EZB-FREE-00999 freely available EZB journals; Wiley Online Library (Open Access Collection) |
| subjects | Adult Analgesia, Patient-Controlled - methods Anesthesia Anesthesia, Dental - methods Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Conscious Sedation - methods Cooperative Behavior Dental research Female Humans Hypnotics and Sedatives - administration & dosage Male Medical sciences Middle Aged Oral Surgical Procedures Oxygen - blood Patient safety Patient Satisfaction Propofol - administration & dosage Self Administration |
| title | Evaluation of a new effect‐site controlled, patient‐maintained sedation system in dental patients |
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