Blood pressure changes of elderly hypertensive patients during dental extraction under sedation with continuous intravenous infusion of midazolam.
OBJECTIVE
To evaluate the changes in blood pressure (BP) of elderly hypertensive patients having dental extraction under sedation with continuous intravenous infusion of midazolam.


METHODS
One hundred elderly hypertensive patients undergoing dental extraction were recruited for this single-blind, randomized, controlled study. Patients in intervention group (n = 50) were given midazolam dissolved in glucose solution and patients in control group (n = 50) were given glucose solution only with communication technique. Systolic BP (SBP) and diastolic BP (DBP) were recorded in five time points.


RESULTS
Under basal conditions, intervention group did not show significant difference in BP compared with control group. Before sedation, mean values of SBP and DBP (especially SBP) significantly increased compared with basal conditions in both groups (P < 0.05). During dental extraction sessions, mean values of BP in intervention group significantly decreased than control group (P < 0.05), but coefficient of variation did show significant difference in both groups.


CONCLUSIONS
Continuous intravenous infusion of midazolam has been proved to be very successful in controlling BP of elderly patients having dental extraction.
Zhao
Ji-Zhi
JZ
Department of Stomatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730.
Wan
Kuo
K
Jing
Quan
Q
Chen
Xi
X
D000368:Aged; D001794:Blood Pressure / Q000187:drug effects / Q000502:physiology*; D003971:Diastole / Q000187:drug effects; D006801:Humans; D006973:Hypertension / Q000517:prevention & control; D006993:Hypnotics and Sedatives / Q000494:pharmacology / Q000627:therapeutic use*; D007262:Infusions, Intravenous; D008874:Midazolam / Q000494:pharmacology / Q000627:therapeutic use*; D013599:Systole / Q000187:drug effects; D014081:Tooth Extraction / Q000379:methods*
D006993:Hypnotics and Sedatives; D008874:Midazolam