Intravenous sedation with low-dose dexmedetomidine: its potential for use in dentistry

Anesth Prog. 2008 Fall;55(3):82-8. doi: 10.2344/0003-3006-55.3.82.

Abstract

This study investigated the physiologic and sedative parameters associated with a low-dose infusion of dexmedetomidine (Dex). Thirteen healthy volunteers were sedated with Dex at a loading dose of 6 mcg/kg/h for 5 minutes and a continuous infusion dose of 0.2 mcg/kg/h for 25 minutes. The recovery process was observed for 60 minutes post infusion. The tidal volume decreased significantly despite nonsignificant changes in respiratory rate, minute ventilation, oxygen saturation, and end-tidal carbon dioxide. The mean arterial pressure and heart rate also decreased significantly but within clinically acceptable levels. Amnesia to pin prick was present in 69% of subjects. A Trieger dot test plot error ratio did not show a significant change at 30 minutes post infusion despite a continued significant decrease in bispectral index. We conclude that sedation with a low dose of Dex appears to be safe and potentially efficacious for young healthy patients undergoing dental procedures.

MeSH terms

  • Adult
  • Amnesia / chemically induced
  • Anesthesia Recovery Period
  • Anesthesia, Dental / methods*
  • Blood Circulation / drug effects
  • Blood Pressure / drug effects
  • Conscious Sedation / methods*
  • Dexmedetomidine / administration & dosage
  • Dexmedetomidine / pharmacology*
  • Electroencephalography / drug effects
  • Heart Rate / drug effects
  • Humans
  • Hypnotics and Sedatives / administration & dosage
  • Hypnotics and Sedatives / pharmacology*
  • Infusions, Intravenous
  • Pilot Projects
  • Respiration / drug effects
  • Young Adult

Substances

  • Hypnotics and Sedatives
  • Dexmedetomidine