Anesthesia
Conditions
Keywords
Anaesthesia for dental surgery, Sedation for dental surgery
Brief summary
Anaesthesia or sedation for dental surgery is Challenging. Over-sedation, leading to upper airway obstruction, desaturation and apnoea, is very common. On the other hand, it is also very common that inadequate sedative drugs were given, leading to under-sedation with unsatisfactory experience during operation. Therefore, it is good if some other methods are provided for sedation, avoiding side effects associated with sedative drugs.
Detailed description
Immersive virtual reality (VR) is a form of distraction therapy and is believed to create an immersive experience that can restrict the mind from pain and anxiety and has been shown to be superior to simple distraction in reducing pain.
Interventions
Targeted Controlled Propofol Infusion will be set at 1 micro gram/ml.
Sponsors
Study design
Eligibility
Inclusion criteria
* Unilateral impacted lower third molar that requires surgical removal * Depth of impaction within 8mm as measured by Winter's line. * Cantonese speaking
Exclusion criteria
* ASA \> III * BMI \> 35 * Known Obstructive Sleep Apnoea * Patients with known or potential difficult airway * Chronic use of sedatives and opioid * Alcohol or drug abuse * Visual and hearing impairments * Claustrophobia * Cognitive impairment * History of seizure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative propofol dose | From the start of anaesthesia to the end of anaesthesia, up to 2 hours after the start of surgery | Amount of propofol required during surgery |
Countries
Hong Kong