RT - Journal of Clinical Pediatric Dentistry ID - 10.17796/1053-4625-45.6.10 T1 - Safety and Efficacy of IV Dexmedetomidine as an Adjunct to Propofol to Sedate Anxious and Uncooperative Pediatric Dental Patients: A Randomized Controlled Trial A1 - Ferah Rehman A1 - Ashima Goyal A1 - Krishan Gauba A1 - Kajal Jain A1 - Aditi Kapur K1 - Dexmedetomidine; Deep sedation; Analgesia; Propofol; Outpatient; Pediatric dentistry YR - 2021 SP - 428 AB -
Objective: To evaluate the safety and efficacy of dexmedetomidine (dex) as an adjunct to propofol sedation in pediatric dental patients. Study design: This RCT enrolled 30 anxious ASA-I 2-5 year olds. Allocated into 2 groups either receiving IV propofol (1 mg/kg)(Gp-P) or [IV dex (1ug/kg) with propofol(1 mg/kg)] (Gp-D) after oral midazolam premedication (0.5 mg/kg). Sedation maintained with propofol infusion at 50–75ug/kg/min. Additional bolus/es of propofol (1mg/kg) was/were administered in case of inadequate sedation. Primary outcome was to compare requirement of propofol in two groups. Secondary outcomes were to compare vital signs, depth of sedation, induction, treatment and recovery time, intra & post-operative complications and analgesic requirement post-operatively.