Utility of bispectral index monitoring during deep sedation in pediatric dental patients

Dag C., Bezgin T., Ozalp N., Aydin G. G.

Journal of Clinical Pediatric Dentistry, vol.39, no.1, pp.68-73, 2014 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 39 Issue: 1
  • Publication Date: 2014
  • Doi Number: 10.17796/jcpd.39.1.8882n41g55720155
  • Journal Name: Journal of Clinical Pediatric Dentistry
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.68-73
  • Keywords: Bispectral index, deep sedation, pediatric patients, INTRAVENOUS SEDATION, PROCEDURAL SEDATION, MODERATE SEDATION, SYSTEM BIS, CHILDREN, PROPOFOL, ANESTHESIA, TITRATION, ANXIETY
  • Ankara University Affiliated: Yes

Abstract

Objective: The aim of this study was to compare the total medicament doses and recovery profiles of patients for whom Bispectral Analysis (BIS) monitor was used to monitor sedation. Study design: Thirty-four uncooperative paediatric patients aged 3-6 years who attended to the Department of Pediatric Dentistry for dental treatment were enrolled in the study. Patients were randomly divided into 2 groups of 17 patients each. Physiological variables including oxygen saturation, blood pressure and heart rate were recorded. In one group (BIS-monitored group), drugs were administered to maintain patients' BIS values between 60-70, while the other group (Non-BIS-monitored Group) was not monitored using BIS. Data was evaluated by Chi-square, Mann Whitney U, Independent Samples t, Paired Samples t and Wilcoxon signed tests, with a p-value of <0.05 considered to be statistically significant. Results: There was no significant difference in total anesthetic doses, incidence of adverse events or recovery profiles of patients between non-BIS-monitored and BIS-monitored groups (p>0.05). However, distinct correlation was determined among mean values of UMSS and BIS values (p<0.05). Conclusion: BIS represents no advantage over the current commonly accepted methods for monitoring sedation depth in children.