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Ultrasound-guided peripheral intravenous cannulation for patients requiring dental surgery under intravenous dental sedation

British Dental Journal volume 232, pages 441–448 (2022)Cite this article

Abstract

Dental surgeons regularly provide intravenous dental sedation and oral/transmucosal sedation, which involves cannulation. Cannulation is an essential skill that dental surgeons should be competent to perform, but certain patient groups may be difficult to cannulate. Ultrasound-guided peripheral intravenous cannulation is an evidence-based technique already used in radiology, emergency medicine, and anaesthesia. Ultrasound-guided peripheral intravenous cannulation has been shown to reduce complications and significantly increase the success of cannulation in patients with difficult intravenous access (DIVA); it may also be preferable in certain special care patient groups. The application of ultrasound-guided peripheral intravenous cannulation should be considered for patients with DIVA who require intravenous dental sedation or other common procedures in dental surgery that involve cannulation.

Key points

  • Discusses the potential future changes to the provision of dental sedation.

  • Discusses possible indications and contraindications of USG-PIVC for intravenous dental sedation.

  • Describes the method of USG-PIVC and current barriers to implementing USG-PIVC for intravenous dental sedation.

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Authors and Affiliations

  1. Honorary Clinical Lecturer, School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK; Senior Dental Surgeon, Midlands Partnership NHS Foundation Trust, Dental Services, St George´s Hospital, Staffordshire, ST16 3SR, UK

    Ishfaq Khan

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Correspondence to Ishfaq Khan.

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Khan, I. Ultrasound-guided peripheral intravenous cannulation for patients requiring dental surgery under intravenous dental sedation. Br Dent J 232, 441–448 (2022). https://doi.org/10.1038/s41415-022-4133-x

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