Evaluation of Endovenous Sedation Using BIS Monitoring in Dentistry. A Systematic Review

Overview

Journal Med Oral Patol Oral Cir Bucal

Specialty Dentistry

Date 2020 Jun 11

PMID 32520922

Citations 3

Authors

S Perez-Garcia

N Lozano-Carrascal

J-A Ruiz-Roca

P Lopez-Jornet

J Gargallo-Albiol

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

Correlating the Depth of Sedation Between the Ramsay Sedation Scale and Bispectral Index Using Either Intravenous Midazolam or Intravenous Propofol in Elderly Patients Under Spinal Anaesthesia.

Sachdeva A, Jaswal S, Walia H, Batra Y Cureus. 2024; 15(12):e50763.

PMID: 38239522 PMC: 10794813. DOI: 10.7759/cureus.50763.

Efficacy and safety of remimazolam besilate for sedation in outpatients undergoing impacted third molar extraction: a prospective exploratory study.

Oue K, Oda A, Shimizu Y, Takahashi T, Kamio H, Sasaki U BMC Oral Health. 2023; 23(1):774.

PMID: 37865761 PMC: 10589926. DOI: 10.1186/s12903-023-03538-2.

Comparison of bispectral index and patient state index as measures of sedation depth during surgeries using remimazolam tosilate.

Zhao T, Chen D, Xu Z, Wang H, Sun H BMC Anesthesiol. 2023; 23(1):208.

PMID: 37322424 PMC: 10268360. DOI: 10.1186/s12871-023-02172-3.

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