title: Recovery Profile and Patient Satisfaction After Ambulatory Anesthesia for Dental Treatment-A Crossover Comparison Between Propofol and Sevoflurane.
abstract: The purpose of this study was to determine which anesthetic was preferable for ambulatory anesthesia: propofol alone or sevoflurane alone. A crossover study was performed to compare the recovery profile and patient satisfaction after 2 anesthesia methods. Twenty healthy patients with severe anxiety toward dental treatment undergoing 2 sessions of day-case dental treatment received either propofol or sevoflurane anesthesia. The order of these methods was randomized. The depths of anesthesia were kept constant using bispectral index (BIS) monitoring. Observations on recovery profiles were performed in the emergence phase, in the recovery phase, and 24 hours after discharge. Patient satisfaction and preference were obtained by a questionnaire. Most of the recovery profiles in the emergence phase such as time to eye opening to respond to verbal command, time to BIS ≥ 75, and time to extubation were shorter in the sevoflurane group than in the propofol group. All recovery profiles in the recovery phase showed no differences between the 2 groups. Based on the subject's satisfaction and preference, propofol was evaluated as a better anesthetic for ambulatory anesthesia than sevoflurane. Higher patient satisfaction and a greater preference for future dental treatment were revealed for propofol anesthesia. Propofol may be more suitable for ambulatory anesthesia for dental treatment.
authors.affiliation: Assistant Professor, Department of Dental Anesthesiology, Tokyo Dental College, Tokyo, Japan.
authors.forename: Keita
authors.initials: K
authors.lastname: Ohkushi
authors.affiliation: Professor and Chairman, Division of Special Needs Dentistry & Orofacial Pain, Department of Oral Health & Clinical Science, Tokyo Dental College, Tokyo, Japan.
authors.forename: Ken-Ichi
authors.initials: KI
authors.lastname: Fukuda
authors.affiliation: Professor, Department of Dental Anesthesiology, Tokyo Dental College, Tokyo, Japan.
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Koukita
authors.affiliation: Professor, Department of Dental Anesthesiology, Tokyo Dental College, Tokyo, Japan.
authors.forename: Yuzuru
authors.initials: Y
authors.lastname: Kaneko
authors.affiliation: Professor and Chairman, Department of Dental Anesthesiology, Tokyo Dental College, Tokyo, Japan.
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Ichinohe
mesh_terms: D000328:Adult; D000762:Anesthesia Recovery Period; D018685:Anesthetics, Inhalation / Q000494:pharmacology*; D018686:Anesthetics, Intravenous / Q000494:pharmacology*; D018592:Cross-Over Studies; D003729:Dental Care; D005260:Female; D006801:Humans; D008297:Male; D008738:Methyl Ethers / Q000494:pharmacology*; D017060:Patient Satisfaction; D015742:Propofol / Q000494:pharmacology*; D000077149:Sevoflurane
chemical_list: D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D008738:Methyl Ethers; D000077149:Sevoflurane; D015742:Propofol
keywords: Ambulatory anesthesia; Patient satisfaction; Propofol; Recovery profile; Sevoflurane