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ORIGINAL ARTICLE - EVALUATIVE STUDY
Year : 2019  |  Volume : 9  |  Issue : 2  |  Page : 283-288

Comparision of vital surgical parameters, after administration of midazolam and dexmedetomidine for conscious sedation in minor oral surgery


Department of Oral and Maxillofacial Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India

Correspondence Address:
Suryahanthmihiran Sivasubramani
208, Pothigai Nagar, Ponnagaram, Dindigul - 624 003 , Tamil Nadu
India
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DOI: 10.4103/ams.ams_17_19

PMID: 31909006

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Aim: The aim of this study is to compare the efficacy between midazolam and dexmedetomidine in relation to vital parameters, sedation score, pain score, cognitive judgment, and postoperative amnesia to the event in conscious sedation for minor oral surgical procedure. Materials and Methods: A sample size of 30 patients were selected in each group: Group M (midazolam) and Group D (dexmedetomidine). Results: The mean heart rate (HR) and systolic and diastolic blood pressure measurements were significantly higher in Group M after the 20th min when compared to Group D. The visual analog scale (VAS) scores of pain were not statistically significant between the two groups during the procedure, but at the time of discharge, statistically significant VAS scores were found between the two groups. Nine (30%) patients in Group D and 21 (70%) patients in Group M showed cognitive judgment impairment with the Stroop Color and Word Test at the 30th min. Conclusion: The dexmedetomidine group of patients had reduced blood pressure and HR. No significant differences were noted in oxygen saturation or in respiratory rate between the two drugs. Patients had better sedation, analgesia, lesser cognitive impairment, and amnesia in the dexmedetomidine group.


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