Comparing Nasal CPAP Mask and Nasal Airway for Ventilation Support During Deep Sedation in Impacted Molar Tooth Extraction A Multi-Center Study on Anesthesia Quality and Postoperative Outcomes

What this Trial Is About

This research aims to compare two types of non-invasive ventilation support devices used during deep sedation for impacted molar tooth extraction in adults aged 18 to 60 years. The study focuses on patients scheduled for surgical tooth extraction lasting between 20 and 60 minutes, examining how these devices affect anesthesia quality, intraoperative and postoperative complications, and satisfaction of both patients and surgeons. The investigation addresses the specific risks and challenges of sedation in dental procedures, especially respiratory complications like hypoxia and respiratory depression, which may be improved by proper ventilation support. Participants receive deep sedation induced with intravenous medications midazolam, propofol, and fentanyl, followed by maintenance using inhaled sevoflurane. They will be randomly assigned to receive ventilation support either through a nasal airway device or a nasal CPAP mask during the procedure. Both groups receive similar sedation protocols, and postoperative analgesia is provided by intravenous paracetamol and dexketoprofen trometamol. The study is conducted at two dental faculties with a total of 60 patients divided equally between the two device groups. Throughout the procedure and for four hours afterward, researchers monitor vital signs including blood pressure, heart rate, oxygen levels, respiratory rate, and ventilation parameters such as tidal volume and end tidal CO2. Postoperative follow-up evaluates complications related to the ventilation devices, including nasal and throat symptoms, as well as patient and surgeon satisfaction scores. Sedation medication doses and recovery time until discharge are also recorded, providing comprehensive data on the safety and comfort of the ventilation methods used during deep sedation.

Comparison of Nasal Continuous Positive Airway Pressure (CPAP) Mask and Nasal Airway in Molar Tooth Extraction Under Deep Sedation