A comparison of target-controlled therapy with patient-controlled administration of propofol combined with midazolam for sedation during dental surgery.
Forty anxious day case patients undergoing extraction of third molar teeth under local anaesthesia with sedation, were studied in a randomised double-blind controlled trial. A target-controlled infusion of propofol was compared with patient-controlled propofol for sedation, combined with a small dose of midazolam to improve amnesia. The objectives of the study were to measure the total dose of propofol used by the two groups and assess recovery and patient satisfaction. The mean dose of propofol used in the patient-controlled sedation group was significantly less than the target-controlled group (p < 0.00007). Five patients became over-sedated in the target-controlled group compared with none in the patient-controlled group. Only one of the three tests of performance showed that the target-controlled patients were more sedated. Patient satisfaction was high in both groups despite a greater recollection of events in the patient-controlled group.
Burns
R
R
Department of Anaesthetics, Royal Infirmary of Edinburgh, UK.
McCrae
A F
AF
Tiplady
B
B
D000328:Adult; D000556:Ambulatory Surgical Procedures; D000766:Anesthesia, Dental / Q000379:methods*; D000772:Anesthesia, Local; D016292:Procedural Sedation / Q000379:methods*; D004311:Double-Blind Method; D004338:Drug Combinations; D005260:Female; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D006993:Hypnotics and Sedatives; D008297:Male; D008874:Midazolam; D008964:Molar, Third / Q000601:surgery; D017060:Patient Satisfaction; D015742:Propofol; D012646:Self Administration; D014081:Tooth Extraction
D004338:Drug Combinations; D006993:Hypnotics and Sedatives; D008874:Midazolam; D015742:Propofol