A study of patient attitudes towards fasting prior to intravenous sedation for dental treatment in a dental hospital department.
Affiliation
Cork University Dental Hospital, Cork, Republic of Ireland. g.mckenna@ucc.ieIssue Date
2010-01MeSH
AdultAnesthesia, Dental
Anesthesia, Intravenous
Attitude to Health
Conscious Sedation
Cross-Sectional Studies
Dental Anxiety
Fasting
Female
Humans
Male
Prospective Studies
Questionnaires
Metadata
Show full item recordCitation
A study of patient attitudes towards fasting prior to intravenous sedation for dental treatment in a dental hospital department. 2010, 17 (1):5-11 Prim Dent CareJournal
Primary dental care : journal of the Faculty of General Dental Practitioners (UK)DOI
10.1308/135576110790307681PubMed ID
20067684Abstract
Intravenous sedation is the most commonly used method of sedation for the provision of adult dental care. However, disparity exists in pre-operative fasting times in use for patients throughout the United Kingdom.The aims of the study were to obtain information on the effects of existing extended pre-operative fasting regimens, to canvas patient opinions on the fasting process, and to record their positive and negative experiences associated with it.
A prospective cross-sectional descriptive study using survey methodology was conducted of adult patients attending a dental hospital for operative treatment under intravenous sedation. Sixty-four questionnaires were distributed over a four-month period, beginning 2nd October 2007.
The surveyed patient pool consisted of 38 females and 14 males with a mean age of 32.4 years. The response rate achieved was 81.2%. Seventy-one per cent of patients indicated that normally they consumed something for breakfast, the most common items being tea and toast. Fifty-one per cent of patients indicated that they would wish to eat the same as normal prior to their appointment and 59% wished to drink as normal. Only 19% of respondents reported that they did not wish to eat anything, with 8% preferring not to drink anything at all. Seventy-nine per cent of the patients reported that they had experienced at least one adverse symptom after fasting and 42% had experienced two or more such symptoms. In general, those patients with more experience of sedation found fasting less unpleasant than those attending for the first time (P<0.05). In addition, one-quarter of all patients indicated that the fasting process had made them feel more nervous about their sedation appointment.
The extended fasting regimen prior to intravenous sedation appeared to affect patients' wellbeing, as the majority reported adverse symptoms.
Item Type
ArticleLanguage
enISSN
1355-7610ae974a485f413a2113503eed53cd6c53
10.1308/135576110790307681
Scopus Count
Collections
Related articles
- Attitudes to conscious sedation in patients attending an emergency dental clinic.
- Authors: Allen EM, Girdler NM
- Issue date: 2005 Jan
- Emergency dental clinic patients in South Devon, their anxiety levels, expressed demand for treatment under sedation and suitability for management under sedation.
- Authors: Baker RA, Farrer S, Perkins VJ, Sanders H
- Issue date: 2006 Jan
- Office-based ambulatory anesthesia: Factors that influence patient satisfaction or dissatisfaction with deep sedation/general anesthesia.
- Authors: Coyle TT, Helfrick JF, Gonzalez ML, Andresen RV, Perrott DH
- Issue date: 2005 Feb
- Comparing the behavior of children treated using general anesthesia with those treated using conscious sedation.
- Authors: Kupietzky A, Blumenstyk A
- Issue date: 1998 Mar-Apr
- An RCT pilot study to test the effects of intravenous midazolam as a conscious sedation technique for anxious children requiring dental treatment--an alternative to general anaesthesia.
- Authors: Averley PA, Lane I, Sykes J, Girdler NM, Steen N, Bond S
- Issue date: 2004 Nov 13