Page 56 - MDJ Volume 47 Number 2 ( Jul-Dec 2024)

Abstracts
fasting guidelines for conscious sedation vary to this was no significant difference in between the groups (p =
day. There is limited evidence on the effects of these 0.313). There was also no significant difference in the onset
different fasting protocols to the efficacy of oral sedation of sedation in both groups (p = 0.067), however a pattern
procedure. Objective: The aim of this study is to assess demonstrated that fasted patients take shorter time for
the efficacy of oral midazolam (OM) sedation in sedation onset (median = 20 minutes; IQR = 13 minutes)
different fasting protocols in paediatric dental patients. compared to light meal group (median = 36 minutes; IQR
Methodology: 40 patients aged 3 to 17 years participated = 24 minutes). No adverse effects were observed in both
in this interventional study. They were randomly assigned groups. The Mann-Whitney U test results indicate that
into two groups, which include the 8-6-4-2 fasting group there is no statistically significant difference (p = 0.161) in
and light meal group. The OM dosage used was 0.5 mg per treatment outcome for both groups. Conclusion: Majority
kilogram bodyweight, with maximum dosage of 10 mg. of the patients have good treatment outcome irrespective
Evaluation was done on the sedation onset and duration, of fasting protocols. The study found no significant
adverse effects and treatment outcome using the overall difference in the efficacy of OM sedation between fasting
Houpt Behavioural Rating Scale. Results: Duration of and light meal groups, suggesting that larger sample sizes
sedation for light meal group was longer (median = 46 may be necessary to provide more relevant findings.
minutes; IQR = 20 minutes) compared to fasting group
(median = 43 minutes; IQR= 19 minutes). However, there Keywords: Fasting, midazolam, paediatric, sedation

82 Malaysian Dental Journal ¦ Volume 47 ¦ Issue 2 ¦ July-December 2024
50