Conscious Sedation Methods for Blepharoplasty in Day Surgery
Midazolam and fentanyl, in combination, are the most commonly used medications for conscious sedation in day aesthetic surgeries. Dexmedetomidine is popularly used in the sedation protocol of our hospital due to its reduced respiratory depression. However, its sedation benefits in facial aesthetic s...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-06-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/12/4099 |
| _version_ | 1797594081136738304 |
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| author | Tae-Yul Lee Han-Jin Bae Deok-Woo Kim Too Jae Min |
| author_facet | Tae-Yul Lee Han-Jin Bae Deok-Woo Kim Too Jae Min |
| author_sort | Tae-Yul Lee |
| collection | DOAJ |
| description | Midazolam and fentanyl, in combination, are the most commonly used medications for conscious sedation in day aesthetic surgeries. Dexmedetomidine is popularly used in the sedation protocol of our hospital due to its reduced respiratory depression. However, its sedation benefits in facial aesthetic surgeries, like blepharoplasty, have not been well-evaluated. We retrospectively compared individuals sedated with midazolam and fentanyl bolus injection (N = 137) and those sedated with dexmedetomidine infusion (N = 113) to determine which is more suitable for blepharoplasty with a mid-cheek lift. The total amount of local anesthetic (<i>p <</i> 0.001), postoperative pain (<i>p =</i> 0.004), ketoprofen administration (<i>p =</i> 0.028), and the number of hypoxia episodes (<i>p <</i> 0.001) and intraoperative hypertension (<i>p</i> = 0.003) were significantly lower in the dexmedetomidine group. Hypoxia severity (<i>p <</i> 0.001) and minor hematoma formation (<i>p =</i> 0.007) were also significantly lower in the dexmedetomidine group. Sedation with dexmedetomidine infusion is associated with less hematoma formation than sedation with midazolam and fentanyl bolus pattern due to hemodynamic stability and analgesic effects. Dexmedetomidine infusion may be a good alternate sedative for lower blepharoplasty. |
| first_indexed | 2024-03-11T02:18:40Z |
| format | Article |
| id | doaj.art-ae95b1bbbb7447698c0848361f1ecffe |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T02:18:40Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-ae95b1bbbb7447698c0848361f1ecffe2023-11-18T11:01:00ZengMDPI AGJournal of Clinical Medicine2077-03832023-06-011212409910.3390/jcm12124099Conscious Sedation Methods for Blepharoplasty in Day SurgeryTae-Yul Lee0Han-Jin Bae1Deok-Woo Kim2Too Jae Min3Department of Plastic and Reconstructive Surgery, Korea University Ansan Hospital, Ansan-si 15355, Republic of KoreaDepartment of Plastic and Reconstructive Surgery, Korea University Ansan Hospital, Ansan-si 15355, Republic of KoreaDepartment of Plastic and Reconstructive Surgery, Korea University Ansan Hospital, Ansan-si 15355, Republic of KoreaDepartment of Anesthesiology and Pain Medicine, Korea University Ansan Hospital, Ansan-si 15355, Republic of KoreaMidazolam and fentanyl, in combination, are the most commonly used medications for conscious sedation in day aesthetic surgeries. Dexmedetomidine is popularly used in the sedation protocol of our hospital due to its reduced respiratory depression. However, its sedation benefits in facial aesthetic surgeries, like blepharoplasty, have not been well-evaluated. We retrospectively compared individuals sedated with midazolam and fentanyl bolus injection (N = 137) and those sedated with dexmedetomidine infusion (N = 113) to determine which is more suitable for blepharoplasty with a mid-cheek lift. The total amount of local anesthetic (<i>p <</i> 0.001), postoperative pain (<i>p =</i> 0.004), ketoprofen administration (<i>p =</i> 0.028), and the number of hypoxia episodes (<i>p <</i> 0.001) and intraoperative hypertension (<i>p</i> = 0.003) were significantly lower in the dexmedetomidine group. Hypoxia severity (<i>p <</i> 0.001) and minor hematoma formation (<i>p =</i> 0.007) were also significantly lower in the dexmedetomidine group. Sedation with dexmedetomidine infusion is associated with less hematoma formation than sedation with midazolam and fentanyl bolus pattern due to hemodynamic stability and analgesic effects. Dexmedetomidine infusion may be a good alternate sedative for lower blepharoplasty.https://www.mdpi.com/2077-0383/12/12/4099blepharoplastydexmedetomidineconscious sedationhematomaaesthetic surgery |
| spellingShingle | Tae-Yul Lee Han-Jin Bae Deok-Woo Kim Too Jae Min Conscious Sedation Methods for Blepharoplasty in Day Surgery Journal of Clinical Medicine blepharoplasty dexmedetomidine conscious sedation hematoma aesthetic surgery |
| title | Conscious Sedation Methods for Blepharoplasty in Day Surgery |
| title_full | Conscious Sedation Methods for Blepharoplasty in Day Surgery |
| title_fullStr | Conscious Sedation Methods for Blepharoplasty in Day Surgery |
| title_full_unstemmed | Conscious Sedation Methods for Blepharoplasty in Day Surgery |
| title_short | Conscious Sedation Methods for Blepharoplasty in Day Surgery |
| title_sort | conscious sedation methods for blepharoplasty in day surgery |
| topic | blepharoplasty dexmedetomidine conscious sedation hematoma aesthetic surgery |
| url | https://www.mdpi.com/2077-0383/12/12/4099 |
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