Evaluating IV Sedation for Dental Treatment in Patients with Brain Injury
Author Information
Author(s): Mili Doshi, Ahmed Kahatab, Louise Gallagher, Ria Prasad, Richard Fitzgerald
Primary Institution: Royal Hospital for Neuro-disability, London, UK
Hypothesis
Is intravenous sedation with midazolam safe and effective for dental treatment in patients with profound acquired brain injury?
Conclusion
Dentist-led IV sedation with midazolam is safe and effective for dental treatment for patients with a profound acquired brain injury.
Supporting Evidence
- 303 episodes of sedation were undertaken over seven years.
- 91% of treatments were completed successfully.
- Complications occurred in 7.9% of cases, all of which were minor.
Takeaway
This study shows that giving medicine to help patients with brain injuries relax during dental work is safe and works well.
Methodology
Retrospective service evaluation of IV sedation for dental treatment over seven years, using descriptive statistics.
Limitations
Data on how many patients desaturated but were managed with stimulation and airway manoeuvres was not collected.
Participant Demographics
303 patients, 40.3% female and 59.7% male, ages 18 to 83, with 92.1% graded as ASA 3.
Digital Object Identifier (DOI)
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