Introduction to Pain + Anxiety Flashcards
Define conscious sedation
Use of a drug produces a state of depression out of the CNS
Verbal contact maintained throughout
Medical indications for IV sedation
Conditions aggravated by stress of dental tx
- Ischaemic heart disease
- Hypertension
- Asthma
- Epilepsy
Conditions which affect cooperation
- Mild-moderate movement or learning difficulties
- Spasticity disorders
- Parkinsons disease
Psychosocial indications for Sedation
Phobias of needles/dental procedures
Gagging
Persistant fainting
Medical contraindications of Sedation
Severe systemic disease
Severe psychiatric problems
Narcolepsy
Hypothyroidism
Contraindications for IV sedation
Pregnancy + lactation
Intracranial pathology
Hepatic insufficiency (unable TO metabolise drug)
Contraindications for IS
Blocked nasal airway
COPD
Pregnancy (carcinogenic, multiple exposure can harm baby)
Social contraindications for sedation
Unwilling
Uncooperative
Unaccompanised
Under 12
Dental contraindications for Sedation
Procedure too difficult for LA alone
Procedure too long
Spreading infection
Airway threatening
Traumatic procedure
Advantages of sedation
Decreased
- Dentist stress
- Staff stress
- Patient stress
Disadvantages of sedation
Training required
Equipment required
Recovery time and aftercare
Define a dental phobia
Irrational and uncontrollable fear
Related to a specific object or situation
Persistent despite avoidance of unprovoking stimulus
ASA Classifications
1 - Healthy
2 - Mild systemic disease (well controlled diabetes, high BP, social drinker)
3 - Severe systemic disease (smoker)
4 - Severe systemic disease constant threat to life
5 - Moribund pt not expected to survive w/o operation
6 - Brain dead