Title: Complications associated with I.V Fentanyl in patients undergoing minor oral surgeries.

Biography:

Dr. Jimmy Kayastha, is a Consultant in Oral and Maxillofacial Medicine and Surgery at Dental Health Solutions Inc., San Francisco, California. He served as the Director for Advanced Education in General Dentistry Residency program at the Marshfield Clinic, Wisconsin. He was appointed Adjunct Clinical Faculty at Case Western Reserve University and Miami Valley Hospital, Ohio. He earned his doctorate from Nova Southeastern University, Florida. He completed his General Practice Residency at Miami Valley Hospital and Oral Medicine Residency at Carolinas Medical Center. He then completed a Fellowship from the Cleveland Clinic and Orofacial Pain Fellowship at Walter Reed National Military Medical Center, Maryland and Glasgow Dental Hospital, United Kingdom. He is an internationally recognized speaker has captivated medical and dental professionals worldwide to motivate real change. He has had scientific publications in the Journal American Medical Informatics Association, Journal American Dental Association and Journal of Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology.

Abstract

Anxiety control remains an important concern in dental practice. We evaluated the incidence, nature, and sequelae of complications during and after minor oral surgeries performed under intravenous midazolam and fentanyl sedation using the titration technique. The medical records of patients who had undergone minor oral surgeries under moderate intravenous midazolam and fentanyl sedation at our institution between January 1, 2018 and December 31, 2020 were retrospectively evaluated. Age, sex, body mass index, medical history, American Society of Anesthesiologists (ASA) classification, indications for sedation, amount of sedative used, surgical duration, and recovery time were evaluated for all patients. Results In total, 107 patients aged 84 years were included. ASA class I and class II were observed for 56.1% and 43.9% patients, respectively. Complications associated with sedation occurred in 11 (10.2%) patients. There were no serious adverse events. Oxygen saturation reached 95% during the procedure in six patients; this was successfully managed by stimulating the patients to take a deep breath.