Attenuation of anxiety in ambulatory oral surgery patients with oral triazolam

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
S E Lieblich, B Horswell

Abstract

The purpose of this investigation was to determine if the preoperative administration of an oral anxiolytic agent (triazolam) is beneficial in reducing the cardiovascular response to stress and anxiety. Twelve consecutive patients, six who received the drug and six who received a placebo, were monitored from the night before surgery at home until the morning with a Holter monitor. On presentation for surgery, levels of anxiety as well as heart rate and presence of cardiac arrhythmias were determined for the two groups. Patients who received the study medication had an anxiety level on the day of surgery similar to that recorded at an earlier consultation visit, whereas the placebo group showed a tendency toward an increase in anxiety on the day of surgery. There was a significant difference for resting heart rate between the two groups at various intervals associated with the preparation for the surgery. There were no complications related to the medication and, therefore, on the basis of this study, it appears that the administration of an oral anxiolytic agent prior to the patient presenting for surgery is beneficial in reducing the stress and anxiety associated with the operation as well as in reducing some of the cardiac ma...Continue Reading

References

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Citations

Nov 1, 1996·Annals of Periodontology·M P Mills
Dec 24, 2005·Journal of Vascular and Interventional Radiology : JVIR·Michael L MartinBrendan T Buckley
Aug 1, 1997·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·C W BertholdS E Corey
Nov 1, 1993·The Journal of the American Dental Association·C W BertholdR A Dionne
Jun 6, 2017·Korean journal of anesthesiology·Taehee PyeonSeongwook Jeong

Related Concepts

Teens
Surgery, Day
Nervousness
Double-Blind Method
Pulse Rate
Structure of Wisdom Tooth
Premedication
Randomization
Mental Suffering
Tooth Extraction

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