Patients with Intellectual Disabilities
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: This study includes patients aged 15 to 65 with intellectual disabilities who underwent general anesthesia at our university's Department of Dental Anesthesiology. Specifically, the study includes patients who received intranasal premedication with midazolam. Since patients with intellectual disabilities may find it difficult to express refusal themselves, their guardians or legal representatives are also included in the study.
Exclusion criteria
Exclusion criteria: Concomitant Sedatives: Patients who received other temporary pre-anesthetic sedative medications (oral, intravenous, or rectal) prior to the intranasal midazolam administration, which would confound the assessment of its specific sedative efficacy (scheduled daily medications were allowed). Incomplete Clinical Data: Patients with substantial missing information in their medical or anesthetic records regarding primary outcomes, such as the exact midazolam dose, administration route, post-administration sedation scores (e.g., RASS), success of anesthesia induction, or adverse events. Refusal of Data Consent: Cases where the patient, parents, or legal guardians opted out and refused the use of their clinical data for this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Depth of sedation upon entering the operating room | — |
Secondary
| Measure | Time frame |
|---|---|
| Midazolam dosage, patient cooperation during premedication, time to onset of effect, depth of sedation, vital signs during sedation, vital signs upon admission, tolerance to monitoring, mask placement, and IV line placement during induction of anesthesia, method of induction, duration of anesthesia, duration of surgery, duration of recovery from anesthesia, postoperative course, postoperative patient condition, adverse events | — |
Countries
Japan
Contacts
Hiroshima University Hospital Dental Anesthesiology