Evaluation of sedation in oral and maxillofacial surgery in ambulatory patients: failure and complications.
OBJECTIVE
This study evaluated the failure and complication rates of sedation in ambulatory patients undergoing oral and maxillofacial surgery.


METHODS
This retrospective cohort study was carried out among 619 patients who had undergone maxillofacial surgical procedures under intravenous sedation with midazolam and fentanyl. Each patient's age, American Society of Anesthesiologists (ASA) classification, systemic condition, surgical procedure, complications, and failures were recorded for evaluation.


RESULTS
A total of 400 patients with ASA I, 199 with ASA II, and 20 with ASA III between the ages of 9 months and 84 years were included in the study. The most common systemic disorders in our patients were mental retardation (35%), hypertension (19%), and epilepsy (15%). Evaluation of the cases revealed 9 complications (1.4%) and 9 sedation failures (1.4%). The complications were bradycardia, postoperative agitation and hallucination, drug reaction, vomiting and nausea, desaturation, and hypotension.


CONCLUSIONS
Our results in the oral and maxillofacial surgery clinic revealed low complication and failure rates.
Department of Anesthesiology and Reanimation, Faculty of Medicine, Blacksea Technical University, Trabzon, Turkey.
Ahmet Can
AC
Senel
Nuray Yilmaz
NY
Altintas
Figen Cizmeci
FC
Senel
Alper
A
Pampu
Emre
E
Tosun
Cem
C
Ungor
Ezher Hamza
EH
Dayisoylu
Tamer
T
Tuzuner
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures; D000758:Anesthesia / Q000592:standards*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage*; D007223:Infant; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012955:Societies, Medical; D013515:Surgery, Oral; D055815:Young Adult
D006993:Hypnotics and Sedatives