静脈内鎮静法に笑気吸入鎮静法を併用して行ったインプラント手術一症例

抄録

Implant surgery is accompanied by pain, fear and discomfort which put patients under stress both physically and mentally. The psychosedation such as N₂O inhalation and intravenous sedation have been applied to solve this kind of problem.
However, as for N₂O inhalation, the effect of sedation varies slightly from case to case and the duration of sedation is so short that nasal mask must be continuously used. On the other hand, intravenous tranquilizer, such as Diazepam, may harm the blood vessels and has a rebound side effect. And Flunitrazepam, which has a long action period, does not suit the implant surgery of which operation time is relatively short.
The author has applied the intravenous sedation with Midazolam which has a reliable sedation effect, less harm to blood vessels and surrounding tissues, and short action period.
The author succeeded in solving the problem by applying easily adjustable N₂O inhalation with intravenous sedation with Midazolam to adjust the timing of intravenous sedation in order to match the peak of action period with implant surgery.