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Advanced Dental Care 2018 Dentistry and Craniofacial Research
ISSN: 2576-392X Page 13
October 08-09, 2018
Moscow, Russia
26th International Conference on
Advanced Dental Care
Sedation for oral surgery adult patients can be challenging
depending from patients comorbidites and anesthetic
techniques. A strict cooperation between the surgical
team and the anesthesia specialist is therefore particularly
important. We present the main results from 1000 consecutive
patients operated in various dentists offices under light/
moderate sedation with the association of midazolam and
fentanyl. In order to maintain safety, criteria for the selection
of patients, preoperative and postoperative recommendations
and guidelines for monitoring should be followed according
to general and state regulations. Patient vital signs should
be monitored as per any surgical operating room, but all
equipment should be moved between offices under the
responsability of the attending anesthesiologst since dental
suites are generally lacking it. Examples of the material
used will be displayed. Adverse effects were classified under
haemodynamic or respiratory derangements (hypertension,
hypotension, bradycardia, tachycardia, desaturation, apnea);
these were always minor and easily corrected thanks to a
continuous dedicated surveillance.
Biography
Claudio Melloni holds a Diploma of Specialist in Anesthesia and Intensive
Care (1976) and Applied Pharmacology(1981). He is an Anesthesiologist
and Retired from the National Health System of Italy (2006). He has held
several positions including as a professor for Anesthesia and Intensive Care
at Trieste University Hospital (1973-1974); Sant’Orsola-Malpighi Polyclinic,
Bologna, Italy (1974-1995) respectively; He is the Director of the Department
Lugo (1995-2000) and Faenza (2000-2006). He has been a Resident in An-
esthesia at St. Lukes Hospital NYC, USA (1976-77); Clinical Fellow McGill
University Hospitals, Montreal, Canada (1981); Anesthesia and Reanima-
tion Instructor Maggiore School of Nursing, Bologna, Italy (1977-1987). He
worked as an Adjunct Professor of Anesthetics at University of Bologna
(1989-1995). He served as a Referee for Minerva Anestesiologica- journal
(1991-1994) and Scientific Appointee SIAARTI (2003-2006). He has several
publications to his credit including: 150 papers in peer-reviewed journals-
(Minerva Anestesiologica, British Journal of Anaesthesia (2), Anesthesiology
(2), AAS (1), Current Opinion in Anesthesioloogy .
Safety in adult sedation for dentistry: patients,
techniques and results
Claudio Melloni
National Health System, Italy
Claudio Melloni, Dent Craniofac Res 2018, Volume 3
DOI: 10.21767/2576-392X-C4-011