Patient--Controlled Sedation: A Narrative Review.
- Resource Type
- Article
- Authors
- Schelfout, Sam; Fonck, Kristine; Coppens, Marc
- Source
- Ambulatory Surgery. Sep2017, Vol. 23 Issue 3, p69-73. 5p.
- Subject
- *AMBULATORY surgery
*ANESTHESIA
*DENTAL extraction
*THIRD molars
- Language
- ISSN
- 0966-6532
Patient-controlled sedation (PCS) was first described in the early nineties for third molar extraction. The concept of PCS resembles the one of PCA. If a patient desires a deeper level of sedation they can push a button and a pre-set amount of hypnotics/opioids are delivered. Because every patient and procedure has its own level of anxiety and discomfort, it is an attempt to eliminate the interindividual pharmacokinetic and pharmacodynamic differences. It has been used since the 1990s for a wide variety of procedures and many different drug regimens have been used. This narrative review describes the procedures, contra-indications and drugs used in PCS. At the end of this article a PCS protocol used for third molar extraction in our institution can be found. [ABSTRACT FROM AUTHOR]