Sedation by nitrous oxide vs general anestesia in oral surgery: pros and cons. A literature review
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/34139 |
Resumo: | The nitrous oxide is a colorless gas that, when inhaled, causes depression to the Central Nervous System (CNS), it has an analgesic effect, making the patient, even if conscious, more susceptible to the procedure. On the other hand, general anesthesia causes loss of consciousness and can be obtained through intravenous or inhalation substances, or through a combination of the two. This article aimed to carry out a literature review to present the characteristics and discuss the pros and cons of the mentioned techniques. It was seen that sedation with nitrous oxide is safe and flexible, as it manages to gradually dose the gas release and change the depth of sedation, in addition to allow a quick start and, consequently, a quick end of action. The disadvantage associated with this technique is related to the effect of the gas, which is individual and variable for each organism, and can cause side effects such as nausea and vomiting. The general anesthesia technique, on the other hand, has the positive differential of ensuring oropharyngeal tamponade throughout the procedure, in addition to allowing more extensive procedures in a single session. Its negative points are associated with possible postoperative delirium and its high cost, in addition to the fact that, when compared with conscious sedation, the risks of morbidity and mortality are higher. It was concluded, therefore, that the two techniques have their clear indications, where there is no absolute advantage for opting exclusively for just one. The choice must be made according to the profile of each patient and the surgical approach to be performed. |
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Sedation by nitrous oxide vs general anestesia in oral surgery: pros and cons. A literature reviewSedación por óxido nitroso X anestesia general em cirugía bucal: pros y contras. Una revisión de la literaturaSedação por óxido nitroso X anestesia geral: prós e contras. Uma revisão de literaturaÓxido NitrosoAnestesia GeneralSedación ConscienteSedación ProfundaCirugía bucal.Óxido NitrosoAnestesia GeralSedação ConscienteSedação ProfundaCirurgia bucal.Nitrous OxideAnesthesia, GeneralConscious SedationDeep SedationSurgery, oral.The nitrous oxide is a colorless gas that, when inhaled, causes depression to the Central Nervous System (CNS), it has an analgesic effect, making the patient, even if conscious, more susceptible to the procedure. On the other hand, general anesthesia causes loss of consciousness and can be obtained through intravenous or inhalation substances, or through a combination of the two. This article aimed to carry out a literature review to present the characteristics and discuss the pros and cons of the mentioned techniques. It was seen that sedation with nitrous oxide is safe and flexible, as it manages to gradually dose the gas release and change the depth of sedation, in addition to allow a quick start and, consequently, a quick end of action. The disadvantage associated with this technique is related to the effect of the gas, which is individual and variable for each organism, and can cause side effects such as nausea and vomiting. The general anesthesia technique, on the other hand, has the positive differential of ensuring oropharyngeal tamponade throughout the procedure, in addition to allowing more extensive procedures in a single session. Its negative points are associated with possible postoperative delirium and its high cost, in addition to the fact that, when compared with conscious sedation, the risks of morbidity and mortality are higher. It was concluded, therefore, that the two techniques have their clear indications, where there is no absolute advantage for opting exclusively for just one. The choice must be made according to the profile of each patient and the surgical approach to be performed.El óxido nitroso es un gas incoloro que, al ser inhalado, provoca depresión en el Sistema Nervioso Central (SNC), tiene un efecto analgésico, haciendo al paciente, aunque consciente, más susceptible al procedimiento. Por otro lado, la anestesia general provoca la pérdida del conocimiento y puede obtenerse a través de sustancias intravenosas o inhalatorias, o mediante una combinación de ambas. Este artículo tuvo como objetivo realizar una revisión de la literatura para presentar las características y discutir los pros y los contras de las técnicas mencionadas. Se vio que la sedación con óxido nitroso es segura y flexible, ya que logra dosificar gradualmente la liberación de gas y cambiar la profundidad de la sedación, además de permitir un inicio rápido y, en consecuencia, un final rápido de la acción. El inconveniente asociado a esta técnica está relacionado con el efecto del gas, que es individual y variable para cada organismo, pudiendo provocar efectos secundarios como náuseas y vómitos. La técnica de anestesia general, por otro lado, tiene el diferencial positivo de asegurar el taponamiento orofaríngeo durante todo el procedimiento, además de permitir procedimientos más extensos en una sola sesión. Sus puntos negativos están asociados al posible delirio postoperatorio y su alto costo, además de que, en comparación con la sedación consciente, los riesgos de morbimortalidad son mayores. Se concluyó, por tanto, que las dos técnicas tienen sus indicaciones claras, donde no existe una ventaja absoluta por optar exclusivamente por una sola. La elección debe hacerse de acuerdo con el perfil de cada paciente y el abordaje quirúrgico a realizar.O óxido nitroso é um gás incolor que ao ser inalado provoca depressão ao Sistema Nervoso Central (SNC), tem efeito analgésico, tornando o paciente, mesmo que consciente, mais suscetível ao procedimento. Já a anestesia geral provoca perda de consciência e pode ser obtida através de substâncias venosas, inalatórias, ou através de uma combinação das duas. O presente artigo teve como objetivo realizar uma revisão de literatura para apresentar as características e discutir os prós e contras das técnicas citadas. Foi visto que a sedação com óxido nitroso é segura e flexível, por conseguir dosar a liberação do gás gradualmente e alterar a profundidade de sedação, além de possibilitar um rápido início e, consequentemente, rápido término de ação. A desvantagem associada a essa técnica está relacionada com o efeito do gás, que é individual e variável de cada organismo, podendo trazer efeitos colaterais como náusea e vômito. Já a técnica da anestesia geral tem como diferencial positivo assegurar o tamponamento orofaringeo durante todo o procedimento, além de permitir procedimentos mais extensos em uma única sessão. Seus pontos negativos estão associados ao possível quadro de delirium pós-operatório e seu custo elevado, além de que, quando comparado com a sedação consciente, os riscos de morbilidade e mortalidade são maiores. Concluiu-se, portanto, que as duas técnicas têm suas claras indicações, onde não há uma vantagem absoluta para que se opte exclusivamente por apenas uma. A escolha deve ser obtida de acordo com o perfil de cada paciente e a abordagem cirúrgica a ser realizada.Research, Society and Development2022-09-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3413910.33448/rsd-v11i12.34139Research, Society and Development; Vol. 11 No. 12; e105111234139Research, Society and Development; Vol. 11 Núm. 12; e105111234139Research, Society and Development; v. 11 n. 12; e1051112341392525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/34139/28884Copyright (c) 2022 Alice Cavalvanti Tasso; Aline Kamilla Macedo Ferreira de Lima; Ana Beatriz Gomes Alves Tavares; Carolina Feitosa Chianca Bessa; Gabriela Queiroz Ferreira Fonseca; Isadora Ribeiro Cruz; Maria Eduarda Accioly da Silva; Sérgio Bartolomeu de Farias Martorellihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessTasso, Alice CavalvantiLima, Aline Kamilla Macedo Ferreira de Tavares, Ana Beatriz Gomes Alves Bessa, Carolina Feitosa Chianca Fonseca, Gabriela Queiroz Ferreira Cruz, Isadora Ribeiro Silva, Maria Eduarda Accioly daMartorelli, Sérgio Bartolomeu de Farias2022-09-26T11:56:08Zoai:ojs.pkp.sfu.ca:article/34139Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:49:33.641048Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Sedation by nitrous oxide vs general anestesia in oral surgery: pros and cons. A literature review Sedación por óxido nitroso X anestesia general em cirugía bucal: pros y contras. Una revisión de la literatura Sedação por óxido nitroso X anestesia geral: prós e contras. Uma revisão de literatura |
title |
Sedation by nitrous oxide vs general anestesia in oral surgery: pros and cons. A literature review |
spellingShingle |
Sedation by nitrous oxide vs general anestesia in oral surgery: pros and cons. A literature review Tasso, Alice Cavalvanti Óxido Nitroso Anestesia General Sedación Consciente Sedación Profunda Cirugía bucal. Óxido Nitroso Anestesia Geral Sedação Consciente Sedação Profunda Cirurgia bucal. Nitrous Oxide Anesthesia, General Conscious Sedation Deep Sedation Surgery, oral. |
title_short |
Sedation by nitrous oxide vs general anestesia in oral surgery: pros and cons. A literature review |
title_full |
Sedation by nitrous oxide vs general anestesia in oral surgery: pros and cons. A literature review |
title_fullStr |
Sedation by nitrous oxide vs general anestesia in oral surgery: pros and cons. A literature review |
title_full_unstemmed |
Sedation by nitrous oxide vs general anestesia in oral surgery: pros and cons. A literature review |
title_sort |
Sedation by nitrous oxide vs general anestesia in oral surgery: pros and cons. A literature review |
author |
Tasso, Alice Cavalvanti |
author_facet |
Tasso, Alice Cavalvanti Lima, Aline Kamilla Macedo Ferreira de Tavares, Ana Beatriz Gomes Alves Bessa, Carolina Feitosa Chianca Fonseca, Gabriela Queiroz Ferreira Cruz, Isadora Ribeiro Silva, Maria Eduarda Accioly da Martorelli, Sérgio Bartolomeu de Farias |
author_role |
author |
author2 |
Lima, Aline Kamilla Macedo Ferreira de Tavares, Ana Beatriz Gomes Alves Bessa, Carolina Feitosa Chianca Fonseca, Gabriela Queiroz Ferreira Cruz, Isadora Ribeiro Silva, Maria Eduarda Accioly da Martorelli, Sérgio Bartolomeu de Farias |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Tasso, Alice Cavalvanti Lima, Aline Kamilla Macedo Ferreira de Tavares, Ana Beatriz Gomes Alves Bessa, Carolina Feitosa Chianca Fonseca, Gabriela Queiroz Ferreira Cruz, Isadora Ribeiro Silva, Maria Eduarda Accioly da Martorelli, Sérgio Bartolomeu de Farias |
dc.subject.por.fl_str_mv |
Óxido Nitroso Anestesia General Sedación Consciente Sedación Profunda Cirugía bucal. Óxido Nitroso Anestesia Geral Sedação Consciente Sedação Profunda Cirurgia bucal. Nitrous Oxide Anesthesia, General Conscious Sedation Deep Sedation Surgery, oral. |
topic |
Óxido Nitroso Anestesia General Sedación Consciente Sedación Profunda Cirugía bucal. Óxido Nitroso Anestesia Geral Sedação Consciente Sedação Profunda Cirurgia bucal. Nitrous Oxide Anesthesia, General Conscious Sedation Deep Sedation Surgery, oral. |
description |
The nitrous oxide is a colorless gas that, when inhaled, causes depression to the Central Nervous System (CNS), it has an analgesic effect, making the patient, even if conscious, more susceptible to the procedure. On the other hand, general anesthesia causes loss of consciousness and can be obtained through intravenous or inhalation substances, or through a combination of the two. This article aimed to carry out a literature review to present the characteristics and discuss the pros and cons of the mentioned techniques. It was seen that sedation with nitrous oxide is safe and flexible, as it manages to gradually dose the gas release and change the depth of sedation, in addition to allow a quick start and, consequently, a quick end of action. The disadvantage associated with this technique is related to the effect of the gas, which is individual and variable for each organism, and can cause side effects such as nausea and vomiting. The general anesthesia technique, on the other hand, has the positive differential of ensuring oropharyngeal tamponade throughout the procedure, in addition to allowing more extensive procedures in a single session. Its negative points are associated with possible postoperative delirium and its high cost, in addition to the fact that, when compared with conscious sedation, the risks of morbidity and mortality are higher. It was concluded, therefore, that the two techniques have their clear indications, where there is no absolute advantage for opting exclusively for just one. The choice must be made according to the profile of each patient and the surgical approach to be performed. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-09-08 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/34139 10.33448/rsd-v11i12.34139 |
url |
https://rsdjournal.org/index.php/rsd/article/view/34139 |
identifier_str_mv |
10.33448/rsd-v11i12.34139 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/34139/28884 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 12; e105111234139 Research, Society and Development; Vol. 11 Núm. 12; e105111234139 Research, Society and Development; v. 11 n. 12; e105111234139 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052797673275392 |