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Recovery Time Following Continuous Midazolam Infusion During Dental Implant Surgery: A Prospective Observational
Naoko Murata1, Yoshiki Shionoya1, Shin Ogura2
1Department of Dental Anesthesiology, The Nippon Dental University School of Life Dentistry, Tokyo, JPN.
Patients undergoing implant surgery and receiving midazolam sedation can expect to recover and be discharged within 90-110 minutes. This allows for a safe return home shortly after waking up from conscious sedation.
Area of Science:
- Anesthesiology
- Oral Surgery
- Pharmacology
Background:
- Assesses recovery time after midazolam sedation for implant surgery.
- Focuses on continuous midazolam infusion protocols.
Purpose of the Study:
- To measure and define recovery time following midazolam sedation during implant surgery.
- To establish discharge criteria based on patient recovery metrics.
Main Methods:
- Prospective observational study of ASA I or II patients undergoing implant surgery.
- Midazolam administered via bolus and continuous infusion targeting a Bispectral Index (BIS) of 70-80.
- Recovery assessed using the Post-Anesthetic Discharge Scoring System (PADSS), with discharge at a score ≥9.
Main Results:
- Forty-six patients completed the study (mean age 59.4 years).
- Mean discharge time was 90-110 minutes from midazolam initiation.
- Patients returned home within 40-60 minutes post-awakening.
Conclusions:
- Properly controlled midazolam sedation (approx. 50 min) facilitates discharge within 90-110 minutes.
- This sedation protocol allows for timely and safe patient discharge post-implant surgery.
- Recovery time is predictable, enabling efficient clinic operations.
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