Evidence map›Paper›PMID 39737897›Full record

ArticleBDJ open2024

Intravenous sedation for adults with profound acquired brain injury undergoing dental treatment - a seven-year service evaluation.

Mili Doshi, Ahmed Kahatab, Louise Gallagher, Ria Prasad, Richard Fitzgerald

Abstract read
In one paragraph

Article in BDJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mili DoshiConsultant in Special Care Dentistry, Royal Hospital for Neuro-disability, London, UK. mili.doshi@nhs.net.ORCID http://orcid.org/0000-0001-9958-4445
Ahmed KahatabSpecialist Registrar in Special Care Dentistry, Surrey and Sussex NHS Health Care Trust, Redhill, UK.
Louise GallagherDental Nurse Manager, Royal Hospital for Neuro-disability, London, UK.
Ria PrasadConsultant in Special Care Dentistry, Royal Hospital for Neuro-disability, London, UK.
Richard FitzgeraldConsultant in Special Care Dentistry, Surrey and Sussex NHS Health Care Trust, Redhill, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDental treatment may not be possible for patients with a profound acquired brain injury without pharmacological support. Intravenous (IV) sedation with midazolam is a widely accepted, safe, and effective mode of treatment for people with a disability, but there is limited evidence in this patient cohort.

aimsThis evaluation aimed to review the IV sedation service for patients with profound acquired brain injury within the dental department at the Royal Hospital for Neuro-disability.

methodThis study was a retrospective service evaluation of IV sedation for dental treatment over seven years. Descriptive statistics are presented.

resultsIn total, 303 episodes of sedation were undertaken at the Royal Hospital of Neurodisability over seven years. Ninety-two percent were graded with an American Society of Anaesthesiologists (ASA) grade 3, and one-third had a history of stroke. 91% had treatment completed successfully. Complications occurred in 7.9% of cases, but all were minor, with no resulting patient harm (e.g. a transient drop in oxygen saturation).

conclusionDentist-led IV sedation with midazolam is safe and effective for dental treatment for patients with a profound acquired brain injury in a specialised setting with experienced clinicians.

Identifiers

PMID39737897
PMCPMC11686102

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