Sedative-analgesic activity of remifentanil and effects of preoperative anxiety on perceived pain in outpatient mandibular third molar surgery
| Autor: | N. Ozkan, Aysun Çağlar Torun, B. Ustun, Mehmet Ziya Yilmaz, Ersin Koksal, Cengiz Kaya |
|---|---|
| Přispěvatelé: | Ondokuz Mayıs Üniversitesi |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Visual analogue scale medicine.drug_class Analgesic Remifentanil Hemodynamics Mandibular third molar 03 medical and health sciences 0302 clinical medicine Double-Blind Method Piperidines Dental Anxiety medicine Ambulatory Care Humans Hypnotics and Sedatives Prospective Studies third molar surgery Pain Measurement Pain Postoperative business.industry Tooth Impacted Pain Perception 030206 dentistry Middle Aged Surgery Treatment Outcome Otorhinolaryngology Patient Satisfaction Anesthesia Dental surgery Sedative Tooth Extraction Anxiety Female Molar Third preoperative anxiety Oral Surgery medicine.symptom business outpatient anaesthesia 030217 neurology & neurosurgery remifentanil medicine.drug |
| Zdroj: | International journal of oral and maxillofacial surgery. 46(3) |
| ISSN: | 1399-0020 |
| Popis: | ozkan, nilufer/0000-0002-0034-5733 WOS: 000394071500018 PubMed: 27956057 The aim of this study was to assess the sedative-analgesic activity of different doses of remifentanil and effects of preoperative anxiety on intraoperative pain levels in patients attending a dental clinic. The patients (n = 60) were divided into two groups according to the remifentanil infusion dose given: group R-1: 0.05 mu g/kg/min; group R-2: 0.1 mu g/kg/min. The following were evaluated: haemodynamic parameters, State-Trait Anxiety Inventory (STAI) TX-I score, pain level due to local anaesthesia injection, time to reach a Ramsay Sedation Scale (RSS) score of 3, amount of bolus dose, total drug consumption, recovery period, patient and surgeon satisfaction, and complications. The patient satisfaction score on a visual analogue scale (VAS) was 90 in group R-1 and 100 in group R-2 (P = 0.008); the surgeon satisfaction score was 80 in group R-1 and 90 in group R-2 (P = 0.004). The time to reach an RSS score of 3 and the amount of bolus dose were significantly lower in group R-2 than in group R-1. High levels of anxiety did not affect intraoperative pain levels. In conclusion, high doses of remifentanil can safely be used for various same-day dental surgery interventions. |
| Databáze: | OpenAIRE |
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