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Effect of patient position and verbal interaction on recovery following intravenous sedation
Author(s) -
Clarke M.,
Wilson K.E.,
Girdler N.M.,
Stassen L.F.A.
Publication year - 2013
Publication title -
oral surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.156
H-Index - 11
eISSN - 1752-248X
pISSN - 1752-2471
DOI - 10.1111/ors.12045
Subject(s) - medicine , midazolam , sedation , sitting , supine position , anesthesia , prone position , intravenous sedation , surgery , pathology
Aim To investigate if recovery position and verbal interaction with the patient post sedation influences the recovery time for patients receiving intravenous conscious sedation following oral surgical procedures. Material and methods A randomised, prospective, single‐centre clinical trial was carried out in D ublin D ental U niversity H ospital in the sedation day unit during the time period of M arch 2005– F ebruary 2006. Seventy‐three patients meeting the following criteria were recruited: requiring an oral surgery procedure under intravenous sedation, A merican S ociety of A naesthetists classification I or II , no history of kidney/liver disease, 18–65 years of age, and neither pregnant nor breastfeeding. Patients were randomly assigned a position of recovery, which was either sitting, semi‐prone or lying with or without gentle verbal interaction, and recovery time to discharge from professional care was recorded. Two recovery times were recorded as the times to discharge from professional care. One from the last increment of drug (midazolam) given, known as ‘post‐midazolam recovery time’, and the second time from the end of the operative procedure, known as ‘post‐operative recovery time’. Results Position was significantly associated with outcome for both post‐midazolam recovery time ( P = 0.046) and post‐operative recovery time ( P = 0.010), with patients in the sitting position recovering more quickly than those in the supine position. Conclusion Variability in recovery times is significantly related to recovery position. Patients if haemodynamically stable should be recovered in a sitting position.