Evaluation of endovenous sedation using BIS monitoring in dentistry. A systematic review
| Autor: | Naroa Lozano-Carrascal, J-A Ruiz-Roca, Jordi Gargallo-Albiol, P López-Jornet, S Pérez-García |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.drug_class Sedation Anestèsics Cirurgia dental Conscious Sedation MEDLINE Sedation scale Odontología 616.3 Sedants Review Sedación Cochrane Library Odontologia 03 medical and health sciences 0302 clinical medicine Sedatives medicine Humans Hypnotics and Sedatives General Dentistry Anesthetics business.industry Electroencephalography 030206 dentistry Medically compromised patients in Dentistry CIENCIAS MÉDICAS [UNESCO] Alertness Otorhinolaryngology Dental surgery Dentistry Sedative Bispectral index UNESCO::CIENCIAS MÉDICAS Anestésicos Physical therapy Odontología restauradora Surgery medicine.symptom Odontology business Hypnotic state |
| Zdroj: | Pérez García, Silvia ; Lozano-Carrascal, Naroa ; Ruiz Roca, Juan Antonio ; López Jornet, María Pía ; Gargallo Albiol, Jordi. Evaluation of endovenous sedation using BIS monitoring in dentistry. A systematic review. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 25 4 2020: 9 RODERIC. Repositorio Institucional de la Universitat de Valéncia instname RODERIC: Repositorio Institucional de la Universitat de Valéncia Universitat de València Medicina Oral, Patología Oral y Cirugía Bucal |
| ISSN: | 1698-6946 |
| DOI: | 10.4317/medoral.22884 |
| Popis: | Background The aim of the present review was evaluate the utility and validity of the Bispectral Index (BIS) in dental treatment carried out under endovenous sedation, and compare its efficacy with clinical sedation scales. Material and Methods Electronic and manual literature searches were conducted by two independent reviewers for articles published up to April 2017 in several databases, including Medline and Cochrane Library. Results Sixteen articles met the inclusion criteria. A correlation was identified between BIS and clinical sedation scales. A BIS range between 75 and 84 showed a high probability of corresponding to an Observer’s Assessment of Alertness and Sedation Scale (OAA/S) value of 3; a scored 3 on the Ramsay scale corresponds around 85 on the BIS; while BIS values between 57 and 64 corresponded to a University of Michigan Sedation Scale value of 3. BIS monitoring provides continuous measurement of the patient’s hypnotic state or state of consciousness, awareness, and recall. It proved impossible to perform an analysis of statistical data drawn from the studies reviewed due to the disparity of inclusion criteria among the works. Conclusions BIS for sedation monitoring might make possible to evaluate sedation levels objectively in real time, reducing the dose of the sedative required, increasing safety, and minimizing secondary effects. Key words:Bispectral analysis, BIS monitoring, intravenous sedation, dental treatment, anesthetics. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|