Low Dose Propofol with Dexmedetomidine is Effective for Monitored Anesthesia Care in Outpatients Undergoing Invasive Oral Surgery

Lee, Do-Won; Yoon, Ji-Uk; Ok, Young-Min; Byeon, Gyeong-Jo; Kim, Cheul-Hong; Yoon, Ji-Young

doi:10.17245/jkdsa.2013.13.1.19

J Korean Dent Soc Anesthesiol. 2013 Mar;13(1):19-22. English.
Published online May 27, 2016.
https://doi.org/10.17245/jkdsa.2013.13.1.19

Case Report

Low Dose Propofol with Dexmedetomidine is Effective for Monitored Anesthesia Care in Outpatients Undergoing Invasive Oral Surgery

Do-Won Lee,^* Ji-Uk Yoon,^* Young-Min Ok,^* Gyeong-Jo Byeon,^* Cheul-Hong Kim and Ji-Young Yoon

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- Department of Dental Anesthesia and Pain Medicine, Pusan National University School of Dentistry, Busan, Korea.
- ^*Department of Anesthesia and Pain Medicine School of Medicine, Pusan National University, Busan, Korea.
Corresponding Author: Ji Young Yoon, Department of Dental Anesthesia and Pain Medicine, School of Dentistry, Pusan National University, Beomeo-ri, Mulgeu-eup, Yangsan-si, Gyung-sangnam-do 626-787, Korea. Tel: +82.55.360.5379, Fax: +82.51.242.7466, Email: dryoonji@pusan.ac.kr

Received March 12, 2013; Revised April 01, 2013; Accepted April 01, 2013.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Certain oral surgery can be performed safely under monitored anesthesia care (MAC) with local anesthesia. Several drugs, such as propofol, benzodiazepine, and opioids have been used for MAC either alone or in combination. Benzodiazepine may cause excessive sedation and confusion, and propofol can also result in disorientation and excessive sedation. Low dose propofol anesthesia with the concomitant use of dexmedetomidine is an effective technique for MAC in patients who are scheduled for intraoral surgery.

Keywords

Propofol; Dexmedetomidine; Monitored anesthesia care