title: [Cardiac response as stress marker in surgery].
abstract: Surgical area--as a precursor of negative emotions, is the threshold between the two areas of anxiety and anxiety among the general and specific stimuli. By dominant color, noise, odors and environmental factors in complex anxiety these elements define the specific treatment of dental medicine better. The emotional stress on the patient child which undergoes a surgical dento-alveolar therapy is negative and consists of the combination of three important elements, in close relationship: score of dental anxiety, the anticipation and experience of pain and phobic stimuli which is implicitly true precursor of pain.
  
  
  METHODS
  Our study was performed on 448 patients. Different methods of preanesthesia were made per oral, intravenous, intramuscular, according with DAS score: Midazolam, Diazepam + Algocalmin, Xanax.
  
  
  RESULTS
  58% of our patients declare after surgery that their satisfaction score is 100% positive after one of our method of preanesthesia.
  
  
  CONCLUSIONS
  The purpose of premedication should be unconditionally determined by the effect of the analgesic and anxiolytic drugs to improve cardiac response and avoid medical emergency. Doses administered must be correlated with the anxiety score DAS, road use and the probable duration of surgery.
authors.affiliation: Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi Facultatea de Medicină Dentară, Disciplina Obstetrică Ginecologie.
authors.forename: A
authors.initials: A
authors.lastname: Stefănescu
authors.forename: Maria
authors.initials: M
authors.lastname: Voroneanu
mesh_terms: D000759:Adjuvants, Anesthesia / Q000627:therapeutic use; D000525:Alprazolam / Q000627:therapeutic use; D014151:Anti-Anxiety Agents / Q000627:therapeutic use; D015331:Cohort Studies; D016854:Dental Anxiety / Q000150:complications* / Q000188:drug therapy / Q000209:etiology / Q000523:psychology; D003975:Diazepam / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006339:Heart Rate / Q000187:drug effects*; D006801:Humans; D008874:Midazolam / Q000627:therapeutic use; D016343:Monitoring, Intraoperative; D019647:Oral Surgical Procedures / Q000009:adverse effects / Q000523:psychology*; D010146:Pain / Q000188:drug therapy / Q000209:etiology* / Q000523:psychology; D017060:Patient Satisfaction; D011229:Preanesthetic Medication / Q000379:methods; D013315:Stress, Psychological / Q000150:complications* / Q000209:etiology; D016896:Treatment Outcome
chemical_list: D000759:Adjuvants, Anesthesia; D014151:Anti-Anxiety Agents; D003975:Diazepam; D008874:Midazolam; D000525:Alprazolam