Module 2- Sedation and Anxiolytics

a technique of communication between the dentist and the patient between the dentist and patient

iatrosedation

minimally depressed level of consciousness that retains the patient's ability to independently and continuously maintain an airway and respond appropriately to physical stimulation or verbal command and that is produced by a pharmacological or nonpharmacological method or a combination thereof. Although cognitive function and coordination may be modestly impaired, ventilatory and cardiovascular functions are unaffected

anxiolysis

minimal sedation drugs should carry a margin of safety wide enough to never....

render unintended loss of consciousness

In the minimal sedation of adults, the appropriate initial dose of a single enteral drug is no more than...

the maximum recommended dose of a drug that can be prescribed for unmonitored home use.

A drug induced depression of consciousness during which patients respond purposefully toverbal commands, either alone or accompanied by light tactile stimulation. No interventions arerequired to maintain a patent airway, and spontaneous ventilation is adequate. Cardiovascularfunction is usually maintained.

moderate (conscious) sedation

moderate sedation drugs should carry a margin of safety wide enough to.....

render unintended loss of consciousness unlikely

what might repeated dosing of a moderate sedation agent before the effects of previous dosing can be fully appreciated result in?

greater alteration of the state of consciousness than is the intent of the dentist

A drug induced depression of consciousness during which patients cannot easily be aroused, but respond purposefully following repeated or painful stimulation. The ability to independently maintain ventilatory function may be impaired.

deep sedation

Patients may require assistance in maintaining a patent airway, and spontaneous ventilation maybe inadequate. Cardiovascular function is usually maintained.

The above statement describes what level of sedation?

deep sedation

A drug induced loss of consciousness during which patients are not arousable, even by painful stimulation. The ability to independently maintain ventilatory function is often impaired.

general anesthsia

Patients often require assistance in maintaining a patent airway, and positive pressure ventilation may be required because of depressed spontaneous ventilation or drug-induced depression of neuromuscular function. Cardiovascular function may be impaired.

this statement refers to what level of sedation?

general anesthesia

Be familiar with this diagram

The ____ ____ _____ in the _____ in which you are licensed regulates sedation

Board of Dentistry; state

most states allow ____ sedation without any additional training

minimal

in KY, a licensed dentist may administer ____ ____ ____ without a permit. NO can be combined with an oral medication, but the level of sedation shall be maintained at the level of ____ ____

minimal enteral sedation; minimal sedation

for higher level sedation permits, a _____ accredited post-doctoral training program is typically required

CODA

Any level of sedation beyond ____ will require patient monitoring. Examples include ____, _____, ____ oximetry and pressure

minimal; BP; ECG; pulse

_____ ______ are the most effective and mostpopular drugs for anxiety management in dentistry. All oral sedatives are ____ ____ and can provide minimal to moderate sedation depending on ____. The patient must have an _____ to and from the dental chair.

oral benzodiazepines; CNS depressants; dose; escort

_____ and _____ are the most common oral sedatives. they cannot be fully _____

diazepam; triazolam; titrated

_____ and ______ are the most well known IV sedatives in dentistry, the latter being the most popular. They are a good choice for _____ and ____ IV sedation of procedures ____ minutes or less. ______ in particular is favored for its amnesic qualities and lack of ____ effect

diazepam; midazolam; moderate; deep; 60; midazolam; rebound