Sedation Flashcards
List indications for sedation (5)
Medical condition aggravated by stress from dental tx
- Ischaemic heart disease
- High BP
- Asthma
- Epilepsy
Dental anxiety/phobia/gag
Medical conditions that affect cooperation - MS/cerebral palsy/parkinsons
Mild learning difficulties
Difficult dental procedures
List contraindications for sedation
Severe/uncontrolled systemic disease
Severe mental disability
Severe psychiatric problems
Narcolepsy
Hypothyroidism
IV Contraindications
Intracranial pathology
COPD
Muscle wasting
Pregnancy
IS Contraindications
Cold
COPD
Pregnancy
Advantages + disadvantages of IS
ADV
Rapid recovery
Flexible duration
DISADV
Keeping nasal hood in place
Less muscle relaxation
Cooperatoin
Advantages + disadvantages of IV
ADV
Less cooperation
Muscle relaxation
DISADV
Baseline readings
Cannula
Recovery
What are the ideal baseline reading values
HR - 60-100bpm
BP - 120/80
O2 - 95%
BMI - 35 is LIMIT for sedation
What ASA classes can we tx with sedation?
I and II
Tx if O2 saturation drops below ideal
2l/min O2
5l/min O2
Definition of sedation
Drugs used to produce a state of depression of CNS to allow tx
Verbal contact remains
What are the ASA Class definitions?
I - healthy, non smoker
II - mild systemic disease
III - severe systemic disease
IV - severe systemic disease constant threat to life
v - moribund
VI - brain dead
List IS equipment
Gas cylinder
Reservoir bag
Nasal hood
Colour coding cans
o2+nio2 pressure dials
Pressure reducing valves
One way expiratory valves
Describe IS in a patient friendly manner
This is when we use laughing gas (mix of o2+nio2) that you breathe in through your nose through a mask
Helps you feel nice and relaxed/comfortable for treatment
You are still awake/able to chat with us throughout the procedure
No needle in back of hand (still required in gum)
BEFORE:
Light meal
Bring any meds you take
Reschedule if cold
AFTER:
Tx roughly 90 mins, keep you 30 mins
Until effects worn off
Can drive home/work but avoid heavy machinery
Describe IV in a patient friendly manner
This is where we place a Neeld into the back of your hand to deliver some medication (Midazolam) to make you more relaxed.
Cannula is in throughout tx.
You are still awake/able to chat to us throughout the procedure.
You still require an injection in your gum.
BEFORE:
Escort
AM - no food
PM - light breakfast
Comfy clothes
No false nails/nail polish
AFTER:
No heavy machinery
Online shopping
Alcohol/driving 24hrs
No legal documents signed until next day
Why no nail polish?
Check skin + O2
