British dental journal
-
British dental journal · Apr 2001
Randomized Controlled Trial Comparative Study Clinical TrialA randomised, double-blind, placebo-controlled, comparative study of topical skin analgesics and the anxiety and discomfort associated with venous cannulation.
To compare the effect of topical skin anaesthetic agents on the discomfort and anxiety associated with venous cannulation. ⋯ Ametop and EMLA topical anaesthetic agents produce effective skin analgesia for venous cannulation. The use of topical analgesia can reduce perceived anxiety about future cannulation procedures. This has application in the management of anxious patients undergoing intravenous sedation, suggesting that topical analgesia prior to venous cannulation may significantly aid anxiolysis.
-
British dental journal · Mar 2000
Randomized Controlled Trial Clinical TrialThe effects of midazolam and flumazenil on psychomotor function and alertness in human volunteers.
To investigate the effect of midazolam and flumazenil on psychomotor function and alertness in human volunteers. ⋯ An earlier discharge time based on subjective assessment of alertness is not advocated for patients whose intravenous midazolam sedation is reversed with flumazenil.
-
British dental journal · Nov 1999
Randomized Controlled Trial Comparative Study Clinical TrialCognitive properties of sedation agents: comparison of the effects of nitrous oxide and midazolam on memory and mood.
To compare the effects of nitrous oxide and midazolam on cognition and mood. ⋯ It is important for clinicians to be aware that peri-operative recall of information is reduced in patients who have undergone midazolam sedation. This is an advantage for patients who are anxious, and do not wish to be aware of the operative treatment being performed. However, as the cognitive impairment is enduring, an adult escort and written post-operative instructions should be mandatory for midazolam sedation patients. In contrast, the use of nitrous oxide sedation does not significantly impair higher cognitive tasks and thus patients receiving nitrous oxide sedation can resume normal activities in the post-operative period.
-
British dental journal · Jun 1999
Randomized Controlled Trial Clinical TrialThe effect of tranexamic acid (cyclokapron) on blood loss after third molar extraction under a day case general anaesthetic.
To evaluate the effect of pre-operative administration of tranexamic acid in preventing prolonged post-operative bleeding in day-case patients. Day-case admission is highly appropriate for dentoalveolar surgery but one of the problems is prolonged post-operative haemorrhage which at times may delay discharge or necessitate readmission to hospital. Tranexamic acid has traditionally been used to treat post-operative bleeding. ⋯ This study has shown that one intravenous pre-operative dose of tranexamic acid is effective in preventing excessive post-operative bleeding in patients undergoing third molar extraction under a day case general anaesthetic and therefore facilitates safe discharge from hospital.
-
British dental journal · Oct 1997
Randomized Controlled Trial Clinical TrialThe pattern of splint usage in the management of two common temporomandibular disorders. Part II: The stabilisation splint in the treatment of pain dysfunction syndrome.
To examine whether the stabilisation splint is a suitable treatment for pain dysfunction syndrome and to determine the most appropriate pattern of usage. ⋯ Patients being treated for pain dysfunction syndrome by a stabilisation splint need wear the splint only at night.