| Autor: |
Keddie, M., Vincer, H., Shah, P., Doshi, M. |
| Předmět: |
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| Zdroj: |
SAAD Digest; 2024, Vol. 40 Issue 1, p23-27, 5p |
| Abstrakt: |
Introduction: When providing intravenous sedation for patients with severe disabilities who have limited verbal communication it can sometimes be challenging to identify when sedation endpoint is reached. Bispectral index monitoring can provide an objective measure of the depth of sedation. Aim: This study aims to assess the feasibility of bispectral index monitoring in adults with cognitive impairment with limited to no verbal communication undergoing dental treatment with midazolam conscious sedation. Method: Bispectral monitoring was applied to patients with a neurodisability or a learning disability who were undergoing dental treatment under intravenous sedation, across three sites. A researcher observed whether the sensor could be applied and how the bispectral index changed during sedation and recovery. Results: 31 patients were recruited. In most cases it was possible to apply sensors before, or soon after, midazolam was titrated. A pattern of a decrease in bispectral values towards the end point, and an increase towards recovery was noted. Fluctuations in bispectral readings were seen during treatment, likely due to facial muscle movements. Conclusion: Bispectral index monitoring could be a valuable adjunct when training dentists in sedation in special care dentistry and may be of particular use in patients with neurodisability. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Supplemental Index |
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