口腔インプラント手術における静脈内鎮静法の有用性： アンケート調査による検討

抄録

Intravenous sedation under the supervision of dental anesthesiologists is an increasingly common procedure in private dental clinics performed to ensure the safety and comfort of patients undergoing oral implant surgery. A questionnaire survey of patients following dental implant surgery was conducted to assess the level of recognition/understanding of intravenous sedation,presence or absence of various types of uncomfortable events during the perioperative period, and requests/expectations of patients regarding this type of sedation.
A questionnaire was administered to a total of 55 patients who underwent intravenous sedation in a private dental clinic during the period between November 2004 and February 2006.
Only 32.7% of patients were familiar with the term “intravenous sedation”. Since a total of 90.9% of patients had no or very little memory of events during surgery, the amnestic effects of sedative agents used were considered sufficient. Only a small number of patients reported uncomfortable perioperative events such as maintenance of a posture for a long period of time and coughing due to irrigation. Almost all patients indicated that they were comfortable during the operation, though 7.3% were bothered by the absence of memory during surgery.
In order to ensure that patients can fully benefit from the amnestic effects of intravenous sedation, cooperation among the dentist, patient, and dental anesthesiologist during surgery, as well as preoperative management, is necessary.