Evaluation of endovenous sedation using BIS monitoring in dentistry. A systematic review
Autor/a
Pérez-García, Silvia
Lozano-Carrascal, Naroa
Ruiz Roca, Juan Antonio
López-Jornet, Pía
Gargallo-Albiol, Jordi
Fecha de publicación
2020ISSN
1698-4447
Resumen
Background: The aim of the present review was evaluate the utility and validity of the Bispectral Index (BIS) in dental treatment carried out under endovenous sedation, and compare its efficacy with clinical sedation scales.Material and Methods: Electronic and manual literature searches were conducted by two independent reviewers for articles published up to April 2017 in several databases, including Medline and Cochrane Library.Results: Sixteen articles met the inclusion criteria. A correlation was identified between BIS and clinical sedation scales. A BIS range between 75 and 84 showed a high probability of corresponding to an Observer’s Assessment of Alertness and Sedation Scale (OAA/S) value of 3; a scored 3 on the Ramsay scale corresponds around 85 on the BIS; while BIS values between 57 and 64 corresponded to a University of Michigan Sedation Scale value of 3. BIS monitoring provides continuous measurement of the patient’s hypnotic state or state of consciousness, awareness, and recall. It proved impossible to perform an analysis of statistical data drawn from the studies reviewed due to the disparity of inclusion criteria among the works.Conclusions: BIS for sedation monitoring might make possible to evaluate sedation levels objectively in real time, reducing the dose of the sedative required, increasing safety, and minimizing secondary effects.
Tipo de documento
Artículo
Versión del documento
Versión publicada
Lengua
English
Materias (CDU)
616.3 - Patología del aparato digestivo. Odontología
Palabras clave
Odontologia
Sedants
Anestèsics
Cirurgia dental
Odontología
Sedación
Anestésicos
Odontología restauradora
Odontology
Sedatives
Anesthetics
Dental surgery
Páginas
10
Publicado por
Medicina Oral
Colección
25; 4
Publicado en
Medicina Oral, Patologia Oral y Cirugia Bucal
Citación
Pérez-García, Silvia; Lozano-Carrascal, Naroa; Ruiz-Roca, Juan Antonio [et al.]. Evaluation of endovenous sedation using BIS monitoring in dentistry. A systematic review. Medicina Oral, Patologia Oral y Cirugia Bucal, 2020, 25(4), e439-e448. Disponible en: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7338067/>. Fecha de acceso: 28 jul. 2020. DOI: 10.4317/medoral.22884
Este ítem aparece en la(s) siguiente(s) colección(ones)
- Odontologia [248]
Derechos
© 2020 Medicina Oral S.L. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Excepto si se señala otra cosa, la licencia del ítem se describe como https://creativecommons.org/licenses/by/4.0/