This 15 part series on sedation was recorded at the IADI conference in 2017. If used for CPD, please ensure that your local rules and regulations are met.

How to find a vein - Dr. Sam Lee

Aims and objectives:

  • Understand what equipment is needed for IV sedation
  • The step by step procedure to administer IV sedation

 IV conscious sedation - Dr. Sam Lee

Aims and objectives:

  • Understand what the regulations are for this jurisdiction – California USA as of Feb 2017. Please check this is up to date and in your jurisdiction
  • Understand the levels of sedation and what levels of sedation can be managed in the dental practice setting
  • Understand the Californian board requirements – facilities and equipment, the sedation protocol, what records need to be kept, the emergency drugs needed and medical competence in treating emergencies

Moderate sedation with Midazolam - Dr. Sam Lee

Aims and objectives:

  • Practical demonstration; how to use Midazolam
  • How to incorporate implant treatment into the sedation
  • An overview of the form used by Dr. Lee and the IADI for sedation records

Sedation case study - a live surgery case - Dr. Gregory Greenwood

This information was taught in the USA. It may not be relevant to your local jurisdiction, it is important to check your jurisdiction rules.

Aims and objectives:

  • Understand aspects of sedation through this live surgery case

Intramuscular sedation - Dr. Gregory Greenwood

Aims and objectives:

  • What is intramuscular anaesthesia
  • Advantages and disadvantages
  • Indications and contraindications for IM sedation
  • Sites for IM injection – describing the anatomy and techniques for each part
  • The armamentarium for this technique
  • Medications for IM sedation
  • Determining how to select the dose

Opioid pharmacologic effects - Dr. Gregory Greenwood

Aims and objectives:

  • Pharmacological effects of opioids
  • Opioid interaction with other drugs
  • Inhibitors of opioid interactions
  • Induction of the opioid metabolism
  • Effects of barbiturates
  • Overview of drugs used in general anaesthesia
  • Anti-emetic drugs
  • 5-HT3 receptor antagonists

Pharmacodynamics - Dr. Gregory Greenwood

Aims and objectives:

  • Understand the effects of medication, as adverse versus therapeutic effects
  • Finding the optimal dose, drug and route for administration, for maximum therapeutic effects and minimal adverse effects

Pharmacokinetics - Dr. Gregory Greenwood

Aims and objectives:

  • Understand factors affecting dose relationship and understanding the therapeutic and toxic dose ranges
  • The processes of the drug from absorption, to excretion
  • Factors affecting absorption, distribution and clearance

Pharmacology of sedative drugs - Dr. Gregory Greenwood

Aims and objectives:

  • Understand ADA definitions of sedation, deep sedation, general anaesthesia
  • The importance of having your emergency kit accessible, and what aspects to have ready
  • ASA physical status scale to assess suitability for sedation
  • Desired pharmacology and outcomes from the sedation
  • An overview of CNS depressants
  • Oral versus IV sedation
  • Understand the limitations associated with sedation
  • Facts about antihistamines mainly Diphenhydramine (Benadryl), Promethazine, Hydroxyzine
  • Benzodiazepines including Diazepam, Midazolam and Lorazepam

Risks of anaesthesia and complications of IV sedation - Dr. Gregory Greenwood

  • Obstructive sleep apnoea cases, and identifying factors that raise concerns for IV sedation
  • How to assess such cases and how to evaluate risk
  • Preoperative evaluation

Inhalational anaesthetics - Dr. Jessica Woo

Aims and objectives:

  • Pharmacokinetics of inhaled anaesthetics
  • Properties of nitrous oxide, indications and contraindications, risks and benefits
  • Method of administration
  • Understand diffusion hypoxia and how to deal with this
  • An overview of alternatives to nitrous e.g. Desflurane or Sevoflurane

Intraoperative complications and emergencies of inhalational anaesthesia - Dr. Jessica Woo

Aims and objectives:

  • Detection and treatment of laryngospasm, bronchospasm, vomiting/aspiration, foreign body in airway, anaphylaxis, malignant hyperthermia

Introduction to anaesthesia and sedation - Dr. Jessica Woo

Aims and objectives:

  • Understand the anatomy and physiology of the cardiovascular and pulmonary system
  • Gain an overview of the ASA classification
  • Understand different airway classes
  • The steps to sedation
  • Safely manage the airway during anaesthesia
  • Equipment needed during sedation
  • Overview of airway devices
  • Recognise medical emergencies and provide proper treatment
  • Learn how to evaluate the patient for in-office anaesthesia and explain risks and benefits 
  • Understand what to do for a patient, in case of emergency

Monitoring: fluid management, hypoxemia and hypothermia - Dr. Jessica Woo

Aims and objectives:

  • Understand the monitoring of fluid, hypoxia and hypothermia

Sedation equipment - Dr. Jessica Woo

Aims and objectives:

  • Know the setup mnemonic to help identify the aspects of setting up
  • A great overview of all the equipment needed for sedation

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