Evaluation of Individual Objectives
To assess the effectiveness of the course material, we ask that you evaluate your achievement of each learning objective on a scale of A to D (A=excellent, B=good, C=fair, D=unsatisfactory). Please indicate your responses next to each learning objective and return it to us with your completed exam.
Learning Objectives
Upon completing the course, you will able to:
Anesthesia and Sedation in the Dental Office
- Define and differentiate between general anesthesia, deep sedation, and conscious sedation.
- Discuss the indications and contraindications for the use of general anesthesia and sedation in children, adults and the geriatric population.
- Describe appropriate agents and techniques for general anesthesia and sedation.
- Discuss the risks associated with the use of general anesthesia and sedation.
- Discuss facilities, equipment, personnel and training for managing and monitoring patients under conscious sedation, deep sedation and general anesthesia.
Conscious Sedation: Clinical Update
- List advantages and limitations to oral sedation.
- Name 3 drugs in the benzodiazepine class, and describe their properties, side effects and adult dosage.
- List the advantages and disadvantages of IV sedation.
- Describe the IV sedation regimen using midazolam and fentanyl.
- Explain various aspects of patient monitoring during conscious sedation.
- Prepare a plan to deal with intraoperative medical emergencies.
General Anesthesia and Sedation Protocols
- Identify sources of risks inherent in conscious sedation.
- Describe standards for staffing, training, facilities, equipment, and patient discharge for conscious sedation.
- List 5 criteria for discharge for all patients who have received anesthesia.
- List 7 essential pieces of information that should be included in patient instructions at discharge.
Emergencies in the Dental Office
- List 6 essential steps to preparing for emergencies.
- Describe signs and symptoms and management of emergencies involving cardiovascular, respiratory, central nervous, and metabolic systems.
Course Contents
- Incidence of adverse drug reactions
- Preparation for emergencies
- Basic life support
- Advanced cardiac life support
- Team approach to emergency management
- Outside medical assistance
- Emergency equipment
- Primary emergency equipment
- Secondary emergency equipment
- Basic emergency kit
- Injectable drugs
- Noninjectable drugs
- Advanced emergency kit
- Injectable drugs
- Noninjectable drugs
- Advanced cardiac life support
- Antidotal drugs
- Overdose
- Predisposing factors
- Clinical manifestations
- Barbiturate and nonbarbiturate sedative hypnotics
- Opioid agonists
- Sedative-hypnotic drugs
- Opioid analgesics
- Allergy
- Prevention of allergy
- Clinical manifestations: onset; skin reaction; respiratory reaction; generalized anaphylaxis
- Management
- Hypotension
- Hypertension
- Cardiac dysrhythmias
- Hypoglycemia
- Syncope
- Convulsions