지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 241 - 244 (4page)
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초록· 키워드
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Introduction: Intravenous sedation is performed to ensure smooth and safe surgery. Dental anxiety is a reaction to an unknown danger. The Spielberger’s state-trait anxiety inventory (STAI) can be used to simultaneously evaluate the levels of state and trait anxiety. State anxiety is defined as subjective feelings of nervousness. This study assessed the presurgical anxiety using STAI and performed intravenous sedation for patients whose level of state anxiety was > stage IV. Based on our clinical experience, it is believed that higher doses of sedatives are needed to induce the desired levels of sedation in patients with a high level of state anxiety.
Objectives: This study examined whether the sedative consumption of the patient with a high anxiety level increased.
Patients and Methods: Patients with state anxiety scores of ≥51 were included in Group V, and those with state anxiety scores ranging from 42 to 50 were placed in Group IV. To induce sedation, intravenous access was established, and a bolus dose of 3.0 mg midazolam was administered intravenously.
Sedation was maintained by administering a continuous infusion of propofol, which was aimed at achieving an Observer’s Assessment of Alertness/Sedation scale of 10-12/20. In this study, midazolam was initially administered when the body movements appeared to occur or the blood pressure increased. This was followed by the administration of higher doses of propofol if low sedation was observed.
Results: There were no significant differences in the patient demographics, duration of sedation, and doses of local anaesthetic agents between Groups IV and V. The midazolam dose and mean propofol dose needed to maintain comparable levels of sedation were significantly higher in Group V than in Group IV.
Conclusion: In female patients, whose level of preoperative state anxiety is more than Stage V of STAI, a large quantity of sedatives is needed for intravenous sedation.
목차
등록된 정보가 없습니다.
참고문헌 (9)
참고문헌 신청
Boker A / 2002 / The amsterdam preoperative anxiety and information scale provides a simple and reliable measure of preoperative anxiety / Can J Anaesth 49 : 792 ~ 798
Dionne RA / 2006 / Balancing efficacy and safty in the use of oral sedation in dental outpatients / J Am Dent Assoc 137 : 502 ~ 513
Liu J / 1996 / Electroencephalogram bispectral analysis predicts the depth of midazolam-induced sedation / Anesthesiology 84 : 64 ~ 69
Liu J / 1997 / Electroencephalographic bispectral index correlates with intraoperative recall and depth of propofol-induced sedation / Anesth Analg 84 : 185 ~ 189
Moerman N / 1996 / The Amsterdam preoperative anxiety and information scale(APAIS) / Anesth Analg 82 : 445 ~ 451
Dionne RA / 2006 / Balancing efficacy and safty in the use of oral sedation in dental outpatients / J Am Dent Assoc 137 : 502 ~ 513
Liu J / 1996 / Electroencephalogram bispectral analysis predicts the depth of midazolam-induced sedation / Anesthesiology 84 : 64 ~ 69
Liu J / 1997 / Electroencephalographic bispectral index correlates with intraoperative recall and depth of propofol-induced sedation / Anesth Analg 84 : 185 ~ 189
Moerman N / 1996 / The Amsterdam preoperative anxiety and information scale(APAIS) / Anesth Analg 82 : 445 ~ 451
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