A drug-induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation. No interventions are required to maintain a patent airway. (From: American Society of Anesthesiologists Practice Guidelines)
A range of methods used to reduce pain and anxiety during dental procedures.
Drugs used to induce drowsiness or sleep or to reduce psychological excitement or anxiety.
Drug-induced depression of consciousness during which patients cannot be easily aroused but respond purposely following repeated painful stimulation. The ability to independently maintain ventilatory function may be impaired. (From: American Society of Anesthesiologists Practice Guidelines)
A short-acting hypnotic-sedative drug with anxiolytic and amnestic properties. It is used in dentistry, cardiac surgery, endoscopic procedures, as preanesthetic medication, and as an adjunct to local anesthesia. The short duration and cardiorespiratory stability makes it useful in poor-risk, elderly, and cardiac patients. It is water-soluble at pH less than 4 and lipid-soluble at physiological pH.
A histamine H1 receptor antagonist that is effective in the treatment of chronic urticaria, dermatitis, and histamine-mediated pruritus. Unlike its major metabolite CETIRIZINE, it does cause drowsiness. It is also effective as an antiemetic, for relief of anxiety and tension, and as a sedative.
An intravenous anesthetic agent which has the advantage of a very rapid onset after infusion or bolus injection plus a very short recovery period of a couple of minutes. (From Smith and Reynard, Textbook of Pharmacology, 1992, 1st ed, p206). Propofol has been used as ANTICONVULSANTS and ANTIEMETICS.
Drugs administered before an anesthetic to decrease a patient's anxiety and control the effects of that anesthetic.
Ultrashort-acting anesthetics that are used for induction. Loss of consciousness is rapid and induction is pleasant, but there is no muscle relaxation and reflexes frequently are not reduced adequately. Repeated administration results in accumulation and prolongs the recovery time. Since these agents have little if any analgesic activity, they are seldom used alone except in brief minor procedures. (From AMA Drug Evaluations Annual, 1994, p174)
A blocking of nerve conduction to a specific area by an injection of an anesthetic agent.
Abnormal fear or dread of visiting the dentist for preventive care or therapy and unwarranted anxiety over dental procedures.
Procedure involving the instillation of an anesthetic into the rectum.
An opioid analgesic chemically related to and with an action resembling that of MEPERIDINE, but more rapid in onset and of shorter duration. It has been used in obstetrics, as pre-operative medication, for minor surgical procedures, and for dental procedures. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1067)
Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery.
The period of emergence from general anesthesia, where different elements of consciousness return at different rates.
Sense of awareness of self and of the environment.
A narcotic analgesic that can be used for the relief of most types of moderate to severe pain, including postoperative pain and the pain of labor. Prolonged use may lead to dependence of the morphine type; withdrawal symptoms appear more rapidly than with morphine and are of shorter duration.
A hypnotic and sedative used in the treatment of INSOMNIA.
Endoscopic examination, therapy or surgery of the digestive tract.
That phase of clinical dentistry concerned with the restoration of parts of existing teeth that are defective through disease, trauma, or abnormal development, to the state of normal function, health, and esthetics, including preventive, diagnostic, biological, mechanical, and therapeutic techniques, as well as material and instrument science and application. (Jablonski's Dictionary of Dentistry, 2d ed, p237)
Burns produced by contact with electric current or from a sudden discharge of electricity.
Process of administering an anesthetic through injection directly into the bloodstream.
A benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnesic properties and a long duration of action. Its actions are mediated by enhancement of GAMMA-AMINOBUTYRIC ACID activity.
The grafting or inserting of a prosthetic device of alloplastic material into the oral tissue beneath the mucosal or periosteal layer or within the bone. Its purpose is to provide support and retention to a partial or complete denture.
True-false questionnaire made up of items believed to indicate anxiety, in which the subject answers verbally the statement that describes him.
An inflatable device implanted in the stomach as an adjunct to therapy of morbid obesity. Specific types include the silicone Garren-Edwards Gastric Bubble (GEGB), approved by the FDA in 1985, and the Ballobes Balloon.
A imidazole derivative that is an agonist of ADRENERGIC ALPHA-2 RECEPTORS. It is closely-related to MEDETOMIDINE, which is the racemic form of this compound.
Nitrogen oxide (N2O). A colorless, odorless gas that is used as an anesthetic and analgesic. High concentrations cause a narcotic effect and may replace oxygen, causing death by asphyxia. It is also used as a food aerosol in the preparation of whipping cream.
Endoscopic examination, therapy or surgery of the gastrointestinal tract.
A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
The surgical removal of a tooth. (Dorland, 28th ed)
Endoscopic examination, therapy or surgery of the luminal surface of the colon.
A procedure involving placement of a tube into the trachea through the mouth or nose in order to provide a patient with oxygen and anesthesia.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.
Fiberoptic endoscopy designed for duodenal observation and cannulation of VATER'S AMPULLA, in order to visualize the pancreatic and biliary duct system by retrograde injection of contrast media. Endoscopic (Vater) papillotomy (SPHINCTEROTOMY, ENDOSCOPIC) may be performed during this procedure.
Endoscopic examination, therapy or surgery of the bronchi.
Injections made into a vein for therapeutic or experimental purposes.
A method of studying a drug or procedure in which both the subjects and investigators are kept unaware of who is actually getting which specific treatment.
Surgery performed on the nervous system or its parts.
An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.
Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration.
Feeling or emotion of dread, apprehension, and impending disaster but not disabling as with ANXIETY DISORDERS.
Methods of creating machines and devices.
Methods of PAIN relief that may be used with or in place of ANALGESICS.
The number of times the HEART VENTRICLES contract per unit of time, usually per minute.
Elements of limited time intervals, contributing to particular results or situations.

Bilateral neck exploration under hypnosedation: a new standard of care in primary hyperparathyroidism? (1/663)

OBJECTIVE: The authors review their experience with initial bilateral neck exploration under local anesthesia and hypnosedation for primary hyperparathyroidism. Efficacy, safety, and cost effectiveness of this new approach are examined. BACKGROUND: Standard bilateral parathyroid exploration under general anesthesia is associated with significant risk, especially in an elderly population. Image-guided unilateral approaches, although theoretically less invasive, expose patients to the potential risk of missing multiple adenomas or asymmetric hyperplasia. Initial bilateral neck exploration under hypnosedation may maximize the strengths of both approaches while minimizing their weaknesses. METHODS: In a consecutive series of 121 initial cervicotomies for primary hyperparathyroidism performed between 1995 and 1997, 31 patients were selected on the basis of their own request to undergo a conventional bilateral neck exploration under local anesthesia and hypnosedation. Neither preoperative testing of hypnotic susceptibility nor expensive localization studies were done. A hypnotic state (immobility, subjective well-being, and increased pain thresholds) was induced within 10 minutes; restoration of a fully conscious state was obtained within several seconds. Patient comfort and quiet surgical conditions were ensured by local anesthesia of the collar incision and minimal intravenous sedation titrated throughout surgery. Both peri- and postoperative records were examined to assess the safety and efficacy of this new approach. RESULTS: No conversion to general anesthesia was needed. No complications were observed. All the patients were cured with a mean follow-up of 18 +/- 12 months. Mean operating time was <1 hour. Four glands were identified in 84% of cases, three glands in 9.7%. Adenomas were found in 26 cases; among these, 6 were ectopic. Hyperplasia, requiring subtotal parathyroidectomy and transcervical thymectomy, was found in five cases (16.1%), all of which had gone undetected by localization studies when requested by the referring physicians. Concomitant thyroid lobectomy was performed in four cases. Patient comfort and recovery and surgical conditions were evaluated on visual analog scales as excellent. Postoperative analgesic consumption was minimal. Mean length of hospital stay was 1.5 +/- 0.5 days. CONCLUSIONS: Initial bilateral neck exploration for primary hyperparathyroidism can be performed safely, efficiently, and cost-effectively under hypnosedation, which may therefore be proposed as a new standard of care.  (+info)

A risk management audit: are we complying with the national guidelines for sedation by non-anaesthetists? (2/663)

OBJECTIVES: To assess the effect of a preprinted form in ensuring an improved and sustained quality of documentation of clinical data in compliance with the national guidelines for sedation by non-anaesthetists. DESIGN: The process of retrospective case note audit was used to identify areas of poor performance, reiterate national guidelines, introduce a post-sedation advice sheet, and demonstrate improvement. SETTING: Emergency Department, Musgrove Park Hospital, Taunton. SUBJECTS: Forty seven patients requiring sedation for relocation of a dislocated shoulder or manipulation of a Colles' fracture between July and October 1996 and July and October 1997. MAIN OUTCOME MEASURES: Evidence that the following items had been documented: consent for procedure, risk assessment, monitored observations, prophylactic use of supplementary oxygen, and discharging patients with printed advice. Case note review was performed before (n = 23) and after (n = 24) the introduction of a sedation audit form. Notes were analysed for the above outcome measures. The monitored observations analysed included: pulse oximetry, respiratory rate, pulse rate, blood pressure, electrocardiography, and conscious level. RESULTS: Use of the form significantly improved documentation of most parameters measured. CONCLUSIONS: Introduction of the form, together with staff education, resulted in enhanced documentation of data and improved conformity with national guidelines. A risk management approach to preempting critical incidents following sedation, can be adopted in this area of emergency medicine.  (+info)

Sedation depends on the level of sensory block induced by spinal anaesthesia. (3/663)

We have investigated the relationship between the extent of spinal block and occurrence of sedation. In a first series of 43 patients, the distribution of sedation score (measured on the Ramsey scale) was related to the extent of spinal block (pinprick). In a second series of 33 patients, the relationship between sedation score and spinal block persisted after injection of midazolam 1 mg. This study confirmed that high spinal block was associated with increased sedation.  (+info)

Feasibility of endovascular repair of abdominal aortic aneurysms with local anesthesia with intravenous sedation. (4/663)

PURPOSE: Local anesthesia has been shown to reduce cardiopulmonary mortality and morbidity rates in patients who undergo selected peripheral vascular procedures. The efforts to treat abdominal aortic aneurysms (AAAs) with endovascular techniques have largely been driven by the desire to reduce the mortality and morbidity rates as compared with those associated with open aneurysm repair. Early results have indicated a modest degree of success in this goal. The purpose of this study was to investigate the feasibility of endovascular repair of AAAs with local anesthesia. METHODS: During a 14-month period, 47 patients underwent endovascular repair of infrarenal AAAs with local anesthesia that was supplemented with intravenous sedation. Anesthetic monitoring was selective on the basis of comorbidities. The patient ages ranged from 48 to 93 years (average age, 74.4 +/- 9.8 years). Of the 47 patients, 55% had significant coronary artery disease, 30% had significant chronic obstructive pulmonary disease, and 13% had diabetes. The average anesthesia grade was 3.1, with 30% of the patients having an average anesthesia grade of 4. The mean aortic aneurysm diameter was 5.77 cm (range, 4.5 to 12.0 cm). All the implanted grafts were bifurcated in design. RESULTS: Endovascular repair of the infrarenal AAA was successful for all 47 patients. One patient required the conversion to general anesthesia to facilitate the repair of an injured external iliac artery via a retroperitoneal approach. The operative mortality rate was 0. No patient had a myocardial infarction or had other cardiopulmonary complications develop in the perioperative period. The average operative time was 170 minutes, and the average blood loss was 623 mL (range, 100 to 2500 mL). The fluid requirements averaged 2491 mL. Of the 47 patients, 46 (98%) tolerated oral intake and were ambulatory within 24 hours of graft implantation. The patients were discharged from the hospital an average of 2.13 days after the procedure, with 87% of the patients discharged less than 48 hours after the graft implantation. Furthermore, at least 30% of the patients could have been discharged on the first postoperative day except for study protocol requirements for computed tomographic scanning at 48 hours. CONCLUSION: This is the first reported series that describes the use of local anesthesia for the endovascular repair of infrarenal AAAs. Our preliminary results indicate that the endovascular treatment of AAAs with local anesthesia is feasible and can be performed safely in a patient population with significant comorbidities. The significant potential advantages include decreased cardiopulmonary morbidity rates, shorter hospital stays, and lower hospital costs. A definitive evaluation of the benefits of local anesthesia will necessitate a direct comparison with other anesthetic techniques.  (+info)

Epidurography and therapeutic epidural injections: technical considerations and experience with 5334 cases. (5/663)

BACKGROUND AND PURPOSE: Even in experienced hands, blind epidural steroid injections result in inaccurate needle placement in up to 30% of cases. The use of fluoroscopy and radiologic contrast material provides confirmation of accurate needle placement within the epidural space. We describe our technique and experience with contrast epidurography and therapeutic epidural steroid injections, and review the frequency of systemic and neurologic complications. METHODS: Epidural steroid injections were performed in 5489 consecutive outpatients over a period of 5 1/2 years by three procedural neuroradiologists. In 155 cases (2.8%), the injections were done without contrast material owing to either confirmed or suspected allergy. The remaining 5334 injections were performed after epidurography through the same needle. Patients and referring clinicians were instructed to contact us first regarding complications or any problem potentially related to the injection. In addition, the referring clinicians' offices were instructed to contact us regarding any conceivable procedure-related complications. RESULTS: Only 10 patients in the entire series required either oral (n = 5) or intravenous (n = 5) sedation. Four complications (0.07%) required either transport to an emergency room (n = 2) or hospitalization (n = 2). None of the complications required surgical intervention, and all were self-limited with regard to symptoms and imaging manifestations. Fluoroscopic needle placement and epidurography provided visual confirmation of accurate needle placement, distribution of the injectate, and depiction of epidural space disease. CONCLUSION: Epidurography in conjunction with epidural steroid injections provides for safe and accurate therapeutic injection and is associated with an exceedingly low frequency of untoward sequelae. It can be performed safely on an outpatient basis and does not require sedation or special monitoring.  (+info)

Intranasal midazolam plasma concentration profile and its effect on anxiety associated with dental procedures. (6/663)

The objectives of this study were to describe the serum concentration time profile for midazolam following intranasal administration to adult dental surgery patients and to ascertain the effect of midazolam on anxiety. Six female patients received a single 20 mg (0.32 to 0.53 mg/kg) dose of midazolam. Blood samples were collected at 5, 10, 20, 30, 45, and 60 min following dose administration. Midazolam plasma concentrations were determined by gas chromatography. Anxiety was evaluated using a 100-mm visual analogue scale. The maximum concentration of midazolam was reached 25.8 min (range 18 to 35 min) following dose administration. Maximum concentrations were variable. However, there was no relationship between the weight-adjusted dose and maximal concentration. Patients experiencing baseline anxiety exhibited a trend toward reduction in their measured anxiety score (P = 0.06). Plasma concentrations above the hypothesized minimum effective concentration for sedative effects were attained when midazolam was administered intranasally to adult dental patients.  (+info)

Comparison of oral chloral hydrate with intramuscular ketamine, meperidine, and promethazine for pediatric sedation--preliminary report. (7/663)

Fifteen consecutive pediatric patients ranging from 3 to 5 years old were selected to receive one of three sedative/hypnotic techniques. Group 1 received oral chloral hydrate 50 mg/kg, and groups 2 and 3 received intramuscular ketamine 2 mg/kg and 3 mg/kg, respectively. In addition to ketamine, patients in groups 2 and 3 received transmucosal intramuscular injections of meperidine and promethazine into the masseter muscle. Sedation for the satisfactory completion of restorative dentistry was obtained for over 40 min on average in the chloral hydrate group, but completion of dental surgery longer than 40 min was achieved in groups 2 and 3 only by intravenous supplements of ketamine.  (+info)

Illinois Dental Anesthesia and Sedation Survey for 1996. (8/663)

Dentists in the state of Illinois who possess a permit to administer sedation or general anesthesia were surveyed. A 71% response rate was achieved. Of the respondents, 86% held permits for deep sedation/general anesthesia and 14% held permits for parenteral conscious sedation. By practice specialty, 84% were oral and maxillofacial surgeons, 11% were general dentists, 5% were periodontists, and fewer than 1% were dental anesthesiologists. Advanced Cardiac Life Support training was possessed by 85% of the respondents. The most common anesthesia team configuration (82%) was a single operator-anesthetist and two additional assistants. Only 4% reported use of a nurse anesthetist, and 2% used an additional MD or DDS anesthesiologist. The vast majority (97%) of the practitioners do not intubate in the office on a routine basis. Supplemental oxygen was used by 81% of the respondents whenever intravenous agents were used. A total of 151,335 anesthetics were administered during the year. One mortality occurred in a patient with an undisclosed pre-existing cardiac condition. Four other events were reported that required medical intervention or hospital evaluation; however, no permanent injuries were reported. Other practice characteristics were described.  (+info)

Conscious sedation, also known as procedural sedation and analgesia, is a minimally depressed level of consciousness that retains the patient's ability to maintain airway spontaneously and respond appropriately to physical stimulation and verbal commands. It is typically achieved through the administration of sedative and/or analgesic medications and is commonly used in medical procedures that do not require general anesthesia. The goal of conscious sedation is to provide a comfortable and anxiety-free experience for the patient while ensuring their safety throughout the procedure.

Dental anesthesia is a type of local or regional anesthesia that is specifically used in dental procedures to block the transmission of pain impulses from the teeth and surrounding tissues to the brain. The most common types of dental anesthesia include:

1. Local anesthesia: This involves the injection of a local anesthetic drug, such as lidocaine or prilocaine, into the gum tissue near the tooth that is being treated. This numbs the area and prevents the patient from feeling pain during the procedure.
2. Conscious sedation: This is a type of minimal sedation that is used to help patients relax during dental procedures. The patient remains conscious and can communicate with the dentist, but may not remember the details of the procedure. Common methods of conscious sedation include nitrous oxide (laughing gas) or oral sedatives.
3. Deep sedation or general anesthesia: This is rarely used in dental procedures, but may be necessary for patients who are extremely anxious or have special needs. It involves the administration of drugs that cause a state of unconsciousness and prevent the patient from feeling pain during the procedure.

Dental anesthesia is generally safe when administered by a qualified dentist or oral surgeon. However, as with any medical procedure, there are risks involved, including allergic reactions to the anesthetic drugs, nerve damage, and infection. Patients should discuss any concerns they have with their dentist before undergoing dental anesthesia.

Hypnotics and sedatives are classes of medications that have depressant effects on the central nervous system, leading to sedation (calming or inducing sleep), reduction in anxiety, and in some cases, decreased awareness or memory. These agents work by affecting the neurotransmitter GABA (gamma-aminobutyric acid) in the brain, which results in inhibitory effects on neuronal activity.

Hypnotics are primarily used for the treatment of insomnia and other sleep disorders, while sedatives are often prescribed to manage anxiety or to produce a calming effect before medical procedures. Some medications can function as both hypnotics and sedatives, depending on the dosage and specific formulation. Common examples of these medications include benzodiazepines (such as diazepam and lorazepam), non-benzodiazepine hypnotics (such as zolpidem and eszopiclone), barbiturates, and certain antihistamines.

It is essential to use these medications under the guidance of a healthcare professional, as they can have potential side effects, such as drowsiness, dizziness, confusion, and impaired coordination. Additionally, long-term use or high doses may lead to tolerance, dependence, and withdrawal symptoms upon discontinuation.

Deep sedation, also known as general anesthesia, is a drug-induced depression of consciousness during which patients cannot be easily aroused but respond purposefully following repeated or painful stimulation. It is characterized by the loss of protective reflexes such as cough and gag, and the ability to ventilate spontaneously may be impaired. Patients may require assistance in maintaining a patent airway, and positive pressure ventilation may be required.

Deep sedation/general anesthesia is typically used for surgical procedures or other medical interventions that require patients to be completely unaware and immobile, and it is administered by trained anesthesia professionals who monitor and manage the patient's vital signs and level of consciousness throughout the procedure.

Midazolam is a medication from the class of drugs known as benzodiazepines. It works by enhancing the effect of a neurotransmitter called gamma-aminobutyric acid (GABA), which has a calming effect on the brain and nervous system. Midazolam is often used for its sedative, hypnotic, anxiolytic, anticonvulsant, and muscle relaxant properties.

Medically, midazolam is used for various purposes, including:

1. Preoperative medication (sedation before surgery)
2. Procedural sedation (for minor surgical or diagnostic procedures)
3. Treatment of seizures (status epilepticus)
4. Sedation in critically ill patients
5. As an adjunct to anesthesia during surgeries
6. Treatment of alcohol withdrawal symptoms
7. To induce amnesia for certain medical or dental procedures

Midazolam is available in various forms, such as tablets, intravenous (IV) solutions, and intranasal sprays. It has a rapid onset of action and a short duration, making it suitable for brief, intermittent procedures. However, midazolam can cause side effects like drowsiness, confusion, respiratory depression, and memory impairment. Therefore, its use should be carefully monitored by healthcare professionals.

Hydroxyzine is an antihistamine medication that is primarily used to treat symptoms of allergies such as itching, hives, and swelling. It works by blocking the effects of histamine, a substance in the body that causes allergic reactions. In addition to its antihistaminic properties, hydroxyzine also has sedative and anxiety-reducing effects, which make it useful in treating anxiety disorders, symptoms of alcohol withdrawal, and as a sleep aid. It is available in both oral and injectable forms and is usually taken orally in the form of tablets, capsules, or syrup. As with any medication, hydroxyzine should be used under the supervision of a healthcare provider, and its use may be subject to certain precautions and contraindications depending on the individual's medical history and current health status.

Propofol is a short-acting medication that is primarily used for the induction and maintenance of general anesthesia during procedures such as surgery. It belongs to a class of drugs called hypnotics or sedatives, which work by depressing the central nervous system to produce a calming effect. Propofol can also be used for sedation in mechanically ventilated patients in intensive care units and for procedural sedation in various diagnostic and therapeutic procedures outside the operating room.

The medical definition of Propofol is:
A rapid-onset, short-duration intravenous anesthetic agent that produces a hypnotic effect and is used for induction and maintenance of general anesthesia, sedation in mechanically ventilated patients, and procedural sedation. It acts by enhancing the inhibitory effects of gamma-aminobutyric acid (GABA) in the brain, leading to a decrease in neuronal activity and a reduction in consciousness. Propofol has a rapid clearance and distribution, allowing for quick recovery after discontinuation of its administration.

Preanesthetic medication, also known as premedication, refers to the administration of medications before anesthesia to help prepare the patient for the upcoming procedure. These medications can serve various purposes, such as:

1. Anxiolysis: Reducing anxiety and promoting relaxation in patients before surgery.
2. Amnesia: Causing temporary memory loss to help patients forget the events leading up to the surgery.
3. Analgesia: Providing pain relief to minimize discomfort during and after the procedure.
4. Antisialagogue: Decreasing saliva production to reduce the risk of aspiration during intubation.
5. Bronchodilation: Relaxing bronchial smooth muscles, which can help improve respiratory function in patients with obstructive lung diseases.
6. Antiemetic: Preventing or reducing the likelihood of postoperative nausea and vomiting.
7. Sedation: Inducing a state of calmness and drowsiness to facilitate a smooth induction of anesthesia.

Common preanesthetic medications include benzodiazepines (e.g., midazolam), opioids (e.g., fentanyl), anticholinergics (e.g., glycopyrrolate), and H1-antihistamines (e.g., diphenhydramine). The choice of preanesthetic medication depends on the patient's medical history, comorbidities, and the type of anesthesia to be administered.

Intravenous anesthetics are a type of medication that is administered directly into a vein to cause a loss of consciousness and provide analgesia (pain relief) during medical procedures. They work by depressing the central nervous system, inhibiting nerve impulse transmission and ultimately preventing the patient from feeling pain or discomfort during surgery or other invasive procedures.

There are several different types of intravenous anesthetics, each with its own specific properties and uses. Some common examples include propofol, etomidate, ketamine, and barbiturates. These drugs may be used alone or in combination with other medications to provide a safe and effective level of anesthesia for the patient.

The choice of intravenous anesthetic depends on several factors, including the patient's medical history, the type and duration of the procedure, and the desired depth and duration of anesthesia. Anesthesiologists must carefully consider these factors when selecting an appropriate medication regimen for each individual patient.

While intravenous anesthetics are generally safe and effective, they can have side effects and risks, such as respiratory depression, hypotension, and allergic reactions. Anesthesia providers must closely monitor patients during and after the administration of these medications to ensure their safety and well-being.

Local anesthesia is a type of anesthesia that numbs a specific area of the body, blocking pain signals from that particular region while allowing the person to remain conscious and alert. It is typically achieved through the injection or application of a local anesthetic drug, which works by temporarily inhibiting the function of nerve fibers carrying pain sensations. Common examples of local anesthetics include lidocaine, prilocaine, and bupivacaine.

Local anesthesia is commonly used for minor surgical procedures, dental work, or other medical interventions where only a small area needs to be numbed. It can also be employed as part of a combined anesthetic technique, such as in conjunction with sedation or regional anesthesia, to provide additional pain relief and increase patient comfort during more extensive surgeries.

The duration of local anesthesia varies depending on the type and dosage of the anesthetic agent used; some last for just a few hours, while others may provide numbness for up to several days. Overall, local anesthesia is considered a safe and effective method for managing pain during various medical procedures.

Dental anxiety is a common feeling of fear or apprehension associated with dental appointments, treatments, or procedures. It can range from mild feelings of unease to severe phobias that cause people to avoid dental care altogether. Dental anxiety may stem from various factors such as negative past experiences, fear of pain, needles, or loss of control. In some cases, dental anxiety may lead to physical symptoms like sweating, rapid heartbeat, and difficulty breathing. It is important for individuals with dental anxiety to communicate their feelings with their dentist so that they can receive appropriate care and support.

Rectal anesthesia refers to the administration of anesthetic drugs through the rectal route. This method is typically used for pediatric patients or when intravenous access is difficult to obtain. The anesthetic drug is usually introduced as a suppository and can provide both local and systemic effects, depending on the type of medication used. Rectal anesthesia may be used for procedures involving the rectum and anus, such as hemorrhoidectomy or flexible sigmoidoscopy, to reduce discomfort and anxiety during the procedure. It is important to note that this method may not provide sufficient anesthesia for more invasive or painful procedures, and other forms of anesthesia might be required in those cases.

Alphaprodine is a synthetic opioid medication that is primarily used for its analgesic (pain-relieving) effects. It belongs to the class of drugs known as narcotic analgesics, which work by binding to specific receptors in the brain and spinal cord to reduce the perception of pain.

Alphaprodine is a controlled substance due to its potential for abuse and dependence. It can produce euphoria, drowsiness, respiratory depression, and constipation, among other side effects. Long-term use or misuse of alphaprodine can lead to physical dependence and withdrawal symptoms upon discontinuation.

Alphaprodine is not commonly used in clinical practice today due to the availability of safer and more effective pain medications. It is also not available as a generic medication, and only one branded formulation (Nisentil) was approved by the FDA for use in the United States, but it has been discontinued from the market.

General anesthesia is a state of controlled unconsciousness, induced by administering various medications, that eliminates awareness, movement, and pain sensation during medical procedures. It involves the use of a combination of intravenous and inhaled drugs to produce a reversible loss of consciousness, allowing patients to undergo surgical or diagnostic interventions safely and comfortably. The depth and duration of anesthesia are carefully monitored and adjusted throughout the procedure by an anesthesiologist or certified registered nurse anesthetist (CRNA) to ensure patient safety and optimize recovery. General anesthesia is typically used for more extensive surgical procedures, such as open-heart surgery, major orthopedic surgeries, and neurosurgery.

The anesthesia recovery period, also known as the post-anesthetic care unit (PACU) or recovery room stay, is the time immediately following anesthesia and surgery during which a patient's vital signs are closely monitored as they emerge from the effects of anesthesia.

During this period, the patient is typically observed for adequate ventilation, oxygenation, circulation, level of consciousness, pain control, and any potential complications. The length of stay in the recovery room can vary depending on the type of surgery, the anesthetic used, and the individual patient's needs.

The anesthesia recovery period is a critical time for ensuring patient safety and comfort as they transition from the surgical setting to full recovery. Nurses and other healthcare providers in the recovery room are specially trained to monitor and manage patients during this vulnerable period.

Consciousness is a complex and multifaceted concept that is difficult to define succinctly, but in a medical or neurological context, it generally refers to an individual's state of awareness and responsiveness to their surroundings. Consciousness involves a range of cognitive processes, including perception, thinking, memory, and attention, and it requires the integration of sensory information, language, and higher-order cognitive functions.

In medical terms, consciousness is often assessed using measures such as the Glasgow Coma Scale, which evaluates an individual's ability to open their eyes, speak, and move in response to stimuli. A coma is a state of deep unconsciousness where an individual is unable to respond to stimuli or communicate, while a vegetative state is a condition where an individual may have sleep-wake cycles and some automatic responses but lacks any meaningful awareness or cognitive function.

Disorders of consciousness can result from brain injury, trauma, infection, or other medical conditions that affect the functioning of the brainstem or cerebral cortex. The study of consciousness is a rapidly evolving field that involves researchers from various disciplines, including neuroscience, psychology, philosophy, and artificial intelligence.

Meperidine is a synthetic opioid analgesic (pain reliever) that works by binding to opioid receptors in the brain and spinal cord, blocking the transmission of pain signals. It is also known by its brand name Demerol and is used to treat moderate to severe pain. Meperidine has a rapid onset of action and its effects typically last for 2-4 hours.

Meperidine can cause various side effects such as dizziness, sedation, nausea, vomiting, sweating, and respiratory depression (slowed breathing). It also has a risk of abuse and physical dependence, so it is classified as a Schedule II controlled substance in the United States.

Meperidine should be used with caution and under the supervision of a healthcare provider due to its potential for serious side effects and addiction. It may not be suitable for people with certain medical conditions or those who are taking other medications that can interact with meperidine.

Chloral hydrate is a sedative and hypnotic medication, which means it can help to promote sleep and reduce anxiety. It is a type of compound called a chloral derivative and works by increasing the activity of a neurotransmitter in the brain called gamma-aminobutyric acid (GABA), which has a calming effect on the nervous system.

Chloral hydrate is available in various forms, including tablets, capsules, and liquid solutions. It is typically used for short-term treatment of insomnia or anxiety, but it may also be used for other purposes as determined by a healthcare provider.

Like all medications, chloral hydrate can have side effects, which can include dizziness, headache, stomach upset, and changes in behavior or mood. It is important to use this medication only as directed by a healthcare provider and to report any unusual symptoms or concerns promptly.

Endoscopy of the digestive system, also known as gastrointestinal (GI) endoscopy, is a medical procedure that allows healthcare professionals to visually examine the inside lining of the digestive tract using a flexible tube with a light and camera attached to it, called an endoscope. This procedure can help diagnose and treat various conditions affecting the digestive system, including gastroesophageal reflux disease (GERD), ulcers, inflammatory bowel disease (IBD), and cancer.

There are several types of endoscopy procedures that focus on different parts of the digestive tract:

1. Esophagogastroduodenoscopy (EGD): This procedure examines the esophagus, stomach, and duodenum (the first part of the small intestine). It is often used to investigate symptoms such as difficulty swallowing, abdominal pain, or bleeding in the upper GI tract.
2. Colonoscopy: This procedure explores the large intestine (colon) and rectum. It is commonly performed to screen for colon cancer, as well as to diagnose and treat conditions like inflammatory bowel disease, diverticulosis, or polyps.
3. Sigmoidoscopy: Similar to a colonoscopy, this procedure examines the lower part of the colon (sigmoid colon) and rectum. It is often used as a screening tool for colon cancer and to investigate symptoms like rectal bleeding or changes in bowel habits.
4. Upper GI endoscopy: This procedure focuses on the esophagus, stomach, and duodenum, using a thin, flexible tube with a light and camera attached to it. It is used to diagnose and treat conditions such as GERD, ulcers, and difficulty swallowing.
5. Capsule endoscopy: This procedure involves swallowing a small capsule containing a camera that captures images of the digestive tract as it passes through. It can help diagnose conditions in the small intestine that may be difficult to reach with traditional endoscopes.

Endoscopy is typically performed under sedation or anesthesia to ensure patient comfort during the procedure. The images captured by the endoscope are displayed on a monitor, allowing the healthcare provider to assess the condition of the digestive tract and make informed treatment decisions.

Operative dentistry is a branch of dental medicine that involves the diagnosis, treatment, and management of teeth with structural or functional damage due to decay, trauma, or other causes. It primarily focuses on restoring the function, form, and health of damaged teeth through various operative procedures such as fillings, crowns, inlays, onlays, and root canal treatments. The goal is to preserve natural tooth structure, alleviate pain, prevent further decay or damage, and restore the patient's oral health and aesthetics.

Here are some of the key aspects and procedures involved in operative dentistry:

1. Diagnosis: Operative dentists use various diagnostic tools and techniques to identify and assess tooth damage, including visual examination, dental X-rays, and special tests like pulp vitality testing. This helps them determine the most appropriate treatment approach for each case.
2. Preparation: Before performing any operative procedure, the dentist must prepare the tooth by removing decayed or damaged tissue, as well as any existing restorations that may be compromised or failing. This process is called tooth preparation and involves using specialized dental instruments like burs and excavators to shape the tooth and create a stable foundation for the new restoration.
3. Restoration: Operative dentistry encompasses various techniques and materials used to restore damaged teeth, including:
a. Fillings: Direct fillings are placed directly into the prepared cavity using materials like amalgam (silver), composite resin (tooth-colored), glass ionomer, or gold foil. The choice of filling material depends on factors such as the location and extent of the damage, patient's preferences, and cost considerations.
b. Indirect restorations: These are fabricated outside the mouth, usually in a dental laboratory, and then cemented or bonded to the prepared tooth. Examples include inlays, onlays, and crowns, which can be made from materials like gold, porcelain, ceramic, or resin composites.
c. Endodontic treatments: Operative dentistry also includes root canal therapy, which involves removing infected or inflamed pulp tissue from within the tooth's root canals, cleaning and shaping the canals, and then filling and sealing them to prevent reinfection.
d. Veneers: These are thin layers of porcelain or composite resin that are bonded to the front surfaces of teeth to improve their appearance, shape, or alignment.
4. Follow-up care: After placing a restoration, patients should maintain good oral hygiene practices and have regular dental checkups to ensure the long-term success of the treatment. In some cases, additional adjustments or repairs may be necessary over time due to wear, fracture, or secondary decay.

Electric burns are injuries to the skin and underlying tissues caused by exposure to electrical current. The damage can be both internal and external, and it depends on the voltage, amperage, type of current (alternating or direct), duration of exposure, and the pathway the current takes through the body.

Electric burns can cause extensive tissue damage, including deep burns, nerve damage, muscle damage, and fractures. They may also result in cardiac arrest, irregular heart rhythms, and respiratory failure. In some cases, electric burns may not appear severe on the surface of the skin, but they can still cause significant internal injuries.

Treatment for electric burns typically involves wound care, pain management, and monitoring for complications such as infection or organ damage. In severe cases, surgery may be necessary to remove damaged tissue and repair injured muscles, nerves, and blood vessels.

Intravenous anesthesia, also known as IV anesthesia, is a type of anesthesia that involves the administration of one or more drugs into a patient's vein to achieve a state of unconsciousness and analgesia (pain relief) during medical procedures. The drugs used in intravenous anesthesia can include sedatives, hypnotics, analgesics, and muscle relaxants, which are carefully selected and dosed based on the patient's medical history, physical status, and the type and duration of the procedure.

The administration of IV anesthesia is typically performed by a trained anesthesiologist or nurse anesthetist, who monitors the patient's vital signs and adjusts the dosage of the drugs as needed to ensure the patient's safety and comfort throughout the procedure. The onset of action for IV anesthesia is relatively rapid, usually within minutes, and the depth and duration of anesthesia can be easily titrated to meet the needs of the individual patient.

Compared to general anesthesia, which involves the administration of inhaled gases or vapors to achieve a state of unconsciousness, intravenous anesthesia is associated with fewer adverse effects on respiratory and cardiovascular function, and may be preferred for certain types of procedures or patients. However, like all forms of anesthesia, IV anesthesia carries risks and potential complications, including allergic reactions, infection, bleeding, and respiratory depression, and requires careful monitoring and management by trained medical professionals.

Diazepam is a medication from the benzodiazepine class, which typically has calming, sedative, muscle relaxant, and anticonvulsant properties. Its medical uses include the treatment of anxiety disorders, alcohol withdrawal syndrome, end-of-life sedation, seizures, muscle spasms, and as a premedication for medical procedures. Diazepam is available in various forms, such as tablets, oral solution, rectal gel, and injectable solutions. It works by enhancing the effects of a neurotransmitter called gamma-aminobutyric acid (GABA) in the brain, which results in the modulation of nerve impulses in the brain, producing a sedative effect.

It is important to note that diazepam can be habit-forming and has several potential side effects, including drowsiness, dizziness, weakness, and impaired coordination. It should only be used under the supervision of a healthcare professional and according to the prescribed dosage to minimize the risk of adverse effects and dependence.

Dental implantation is a surgical procedure in which a titanium post or frame is inserted into the jawbone beneath the gum line to replace the root of a missing tooth. Once the implant has integrated with the bone, a replacement tooth (crown) is attached to the top of the implant, providing a stable and durable restoration that looks, feels, and functions like a natural tooth. Dental implants can also be used to support dental bridges or dentures, providing added stability and comfort for patients who are missing multiple teeth.

The Manifest Anxiety Scale (MAS) is a psychological self-reporting measurement tool used to assess the level of anxiety in individuals. It was developed by psychologist Charles D. Spielberger and his colleagues in the 1950s as part of their research on anxiety and stress. The MAS measures the subjective experience of anxiety or feelings of tension, worry, and nervousness that an individual may be experiencing.

The MAS consists of a series of statements or items that describe various symptoms or manifestations of anxiety. Respondents are asked to rate how well each statement describes their own experiences on a scale, typically ranging from "not at all" to "very much." The total score is calculated by summing up the ratings for all the items, with higher scores indicating greater levels of anxiety.

It's important to note that while the MAS can provide useful information about an individual's subjective experience of anxiety, it should not be used as a standalone diagnostic tool. A comprehensive assessment by a qualified mental health professional is necessary for a proper diagnosis and treatment plan.

A gastric balloon is a medical device that is temporarily inserted into the stomach to help with weight loss. It is typically used for individuals who are moderately overweight and have not been able to lose weight through diet and exercise alone. The procedure involves placing a deflated balloon into the stomach through the mouth, then filling it with saline solution once it's in place. This reduces the amount of space available in the stomach for food, leading to a feeling of fullness and reduced appetite. After several months, the balloon is removed through an endoscopic procedure. It's important to note that gastric balloons are not a permanent solution to obesity and should be used as part of a comprehensive weight loss plan that includes diet, exercise, and behavior modification.

Dexmedetomidine is a medication that belongs to a class of drugs called alpha-2 adrenergic agonists. It is used for sedation and analgesia (pain relief) in critically ill patients, as well as for procedural sedation in adults and children. Dexmedetomidine works by mimicking the effects of natural chemicals in the body that help to regulate sleep, wakefulness, and pain perception.

The medical definition of dexmedetomidine is: "A selective alpha-2 adrenergic agonist used for sedation and analgesia in critically ill patients, as well as for procedural sedation in adults and children. Dexmedetomidine has sedative, anxiolytic, analgesic, and sympatholytic properties, and its effects are mediated by activation of alpha-2 adrenergic receptors in the central nervous system."

It is important to note that dexmedetomidine should only be administered under the close supervision of a healthcare professional, as it can have significant effects on heart rate, blood pressure, and respiratory function.

Nitrous oxide, also known as laughing gas, is a colorless and non-flammable gas with a slightly sweet odor and taste. In medicine, it's commonly used for its anesthetic and pain reducing effects. It is often used in dental procedures, surgery, and childbirth to help reduce anxiety and provide mild sedation. Nitrous oxide works by binding to the hemoglobin in red blood cells, which reduces the oxygen-carrying capacity of the blood, but this effect is usually not significant at the low concentrations used for analgesia and anxiolysis. It's also considered relatively safe when administered by a trained medical professional because it does not cause depression of the respiratory system or cardiovascular function.

Gastrointestinal endoscopy is a medical procedure that allows direct visualization of the inner lining of the digestive tract, which includes the esophagus, stomach, small intestine, large intestine (colon), and sometimes the upper part of the small intestine (duodenum). This procedure is performed using an endoscope, a long, thin, flexible tube with a light and camera at its tip. The endoscope is inserted through the mouth for upper endoscopy or through the rectum for lower endoscopy (colonoscopy), and the images captured by the camera are transmitted to a monitor for the physician to view.

Gastrointestinal endoscopy can help diagnose various conditions, such as inflammation, ulcers, tumors, polyps, or bleeding in the digestive tract. It can also be used for therapeutic purposes, such as removing polyps, taking tissue samples (biopsies), treating bleeding, and performing other interventions to manage certain digestive diseases.

There are different types of gastrointestinal endoscopy procedures, including:

1. Upper Endoscopy (Esophagogastroduodenoscopy or EGD): This procedure examines the esophagus, stomach, and duodenum.
2. Colonoscopy: This procedure examines the colon and rectum.
3. Sigmoidoscopy: A limited examination of the lower part of the colon (sigmoid colon) using a shorter endoscope.
4. Enteroscopy: An examination of the small intestine, which can be performed using various techniques, such as push enteroscopy, single-balloon enteroscopy, or double-balloon enteroscopy.
5. Capsule Endoscopy: A procedure that involves swallowing a small capsule containing a camera, which captures images of the digestive tract as it passes through.

Gastrointestinal endoscopy is generally considered safe when performed by experienced medical professionals. However, like any medical procedure, there are potential risks and complications, such as bleeding, infection, perforation, or adverse reactions to sedatives used during the procedure. Patients should discuss these risks with their healthcare provider before undergoing gastrointestinal endoscopy.

Fentanyl is a potent synthetic opioid analgesic, which is similar to morphine but is 50 to 100 times more potent. It is a schedule II prescription drug, typically used to treat patients with severe pain or to manage pain after surgery. It works by binding to the body's opioid receptors, which are found in the brain, spinal cord, and other areas of the body.

Fentanyl can be administered in several forms, including transdermal patches, lozenges, injectable solutions, and tablets that dissolve in the mouth. Illegally manufactured and distributed fentanyl has also become a major public health concern, as it is often mixed with other drugs such as heroin, cocaine, and counterfeit pills, leading to an increase in overdose deaths.

Like all opioids, fentanyl carries a risk of dependence, addiction, and overdose, especially when used outside of medical supervision or in combination with other central nervous system depressants such as alcohol or benzodiazepines. It is important to use fentanyl only as directed by a healthcare provider and to be aware of the potential risks associated with its use.

Tooth extraction is a dental procedure in which a tooth that is damaged or poses a threat to oral health is removed from its socket in the jawbone. This may be necessary due to various reasons such as severe tooth decay, gum disease, fractured teeth, crowded teeth, or for orthodontic treatment purposes. The procedure is performed by a dentist or an oral surgeon, under local anesthesia to numb the area around the tooth, ensuring minimal discomfort during the extraction process.

A colonoscopy is a medical procedure used to examine the large intestine, also known as the colon and rectum. It is performed using a flexible tube with a tiny camera on the end, called a colonoscope, which is inserted into the rectum and gently guided through the entire length of the colon.

The procedure allows doctors to visually inspect the lining of the colon for any abnormalities such as polyps, ulcers, inflammation, or cancer. If any polyps are found during the procedure, they can be removed immediately using special tools passed through the colonoscope. Colonoscopy is an important tool in the prevention and early detection of colorectal cancer, which is one of the leading causes of cancer-related deaths worldwide.

Patients are usually given a sedative to help them relax during the procedure, which is typically performed on an outpatient basis in a hospital or clinic setting. The entire procedure usually takes about 30-60 minutes to complete, although patients should plan to spend several hours at the medical facility for preparation and recovery.

Intubation, intratracheal is a medical procedure in which a flexible plastic or rubber tube called an endotracheal tube (ETT) is inserted through the mouth or nose, passing through the vocal cords and into the trachea (windpipe). This procedure is performed to establish and maintain a patent airway, allowing for the delivery of oxygen and the removal of carbon dioxide during mechanical ventilation in various clinical scenarios, such as:

1. Respiratory failure or arrest
2. Procedural sedation
3. Surgery under general anesthesia
4. Neuromuscular disorders
5. Ingestion of toxic substances
6. Head and neck trauma
7. Critical illness or injury affecting the airway

The process of intubation is typically performed by trained medical professionals, such as anesthesiologists, emergency medicine physicians, or critical care specialists, using direct laryngoscopy or video laryngoscopy to visualize the vocal cords and guide the ETT into the correct position. Once placed, the ETT is secured to prevent dislodgement, and the patient's respiratory status is continuously monitored to ensure proper ventilation and oxygenation.

Prospective studies, also known as longitudinal studies, are a type of cohort study in which data is collected forward in time, following a group of individuals who share a common characteristic or exposure over a period of time. The researchers clearly define the study population and exposure of interest at the beginning of the study and follow up with the participants to determine the outcomes that develop over time. This type of study design allows for the investigation of causal relationships between exposures and outcomes, as well as the identification of risk factors and the estimation of disease incidence rates. Prospective studies are particularly useful in epidemiology and medical research when studying diseases with long latency periods or rare outcomes.

Patient satisfaction is a concept in healthcare quality measurement that reflects the patient's perspective and evaluates their experience with the healthcare services they have received. It is a multidimensional construct that includes various aspects such as interpersonal mannerisms of healthcare providers, technical competence, accessibility, timeliness, comfort, and communication.

Patient satisfaction is typically measured through standardized surveys or questionnaires that ask patients to rate their experiences on various aspects of care. The results are often used to assess the quality of care provided by healthcare organizations, identify areas for improvement, and inform policy decisions. However, it's important to note that patient satisfaction is just one aspect of healthcare quality and should be considered alongside other measures such as clinical outcomes and patient safety.

Endoscopic retrograde cholangiopancreatography (ERCP) is a medical procedure that combines upper gastrointestinal (GI) endoscopy and fluoroscopy to diagnose and treat certain problems of the bile ducts and pancreas.

During ERCP, a flexible endoscope (a long, thin, lighted tube with a camera on the end) is passed through the patient's mouth and throat, then through the stomach and into the first part of the small intestine (duodenum). A narrow plastic tube (catheter) is then inserted through the endoscope and into the bile ducts and/or pancreatic duct. Contrast dye is injected through the catheter, and X-rays are taken to visualize the ducts.

ERCP can be used to diagnose a variety of conditions affecting the bile ducts and pancreas, including gallstones, tumors, strictures (narrowing of the ducts), and chronic pancreatitis. It can also be used to treat certain conditions, such as removing gallstones from the bile duct or placing stents to keep the ducts open in cases of stricture.

ERCP is an invasive procedure that carries a risk of complications, including pancreatitis, infection, bleeding, and perforation (a tear in the lining of the GI tract). It should only be performed by experienced medical professionals in a hospital setting.

Bronchoscopy is a medical procedure that involves the examination of the inside of the airways and lungs with a flexible or rigid tube called a bronchoscope. This procedure allows healthcare professionals to directly visualize the airways, take tissue samples for biopsy, and remove foreign objects or secretions. Bronchoscopy can be used to diagnose and manage various respiratory conditions such as lung infections, inflammation, cancer, and bleeding. It is usually performed under local or general anesthesia to minimize discomfort and risks associated with the procedure.

Intravenous injections are a type of medical procedure where medication or fluids are administered directly into a vein using a needle and syringe. This route of administration is also known as an IV injection. The solution injected enters the patient's bloodstream immediately, allowing for rapid absorption and onset of action. Intravenous injections are commonly used to provide quick relief from symptoms, deliver medications that are not easily absorbed by other routes, or administer fluids and electrolytes in cases of dehydration or severe illness. It is important that intravenous injections are performed using aseptic technique to minimize the risk of infection.

The double-blind method is a study design commonly used in research, including clinical trials, to minimize bias and ensure the objectivity of results. In this approach, both the participants and the researchers are unaware of which group the participants are assigned to, whether it be the experimental group or the control group. This means that neither the participants nor the researchers know who is receiving a particular treatment or placebo, thus reducing the potential for bias in the evaluation of outcomes. The assignment of participants to groups is typically done by a third party not involved in the study, and the codes are only revealed after all data have been collected and analyzed.

Neurosurgical procedures are operations that are performed on the brain, spinal cord, and peripheral nerves. These procedures are typically carried out by neurosurgeons, who are medical doctors with specialized training in the diagnosis and treatment of disorders of the nervous system. Neurosurgical procedures can be used to treat a wide range of conditions, including traumatic injuries, tumors, aneurysms, vascular malformations, infections, degenerative diseases, and congenital abnormalities.

Some common types of neurosurgical procedures include:

* Craniotomy: A procedure in which a bone flap is temporarily removed from the skull to gain access to the brain. This type of procedure may be performed to remove a tumor, repair a blood vessel, or relieve pressure on the brain.
* Spinal fusion: A procedure in which two or more vertebrae in the spine are fused together using bone grafts and metal hardware. This is often done to stabilize the spine and alleviate pain caused by degenerative conditions or spinal deformities.
* Microvascular decompression: A procedure in which a blood vessel that is causing pressure on a nerve is repositioned or removed. This type of procedure is often used to treat trigeminal neuralgia, a condition that causes severe facial pain.
* Deep brain stimulation: A procedure in which electrodes are implanted in specific areas of the brain and connected to a battery-operated device called a neurostimulator. The neurostimulator sends electrical impulses to the brain to help alleviate symptoms of movement disorders such as Parkinson's disease or dystonia.
* Stereotactic radiosurgery: A non-invasive procedure that uses focused beams of radiation to treat tumors, vascular malformations, and other abnormalities in the brain or spine. This type of procedure is often used for patients who are not good candidates for traditional surgery due to age, health status, or location of the lesion.

Neurosurgical procedures can be complex and require a high degree of skill and expertise. Patients considering neurosurgical treatment should consult with a qualified neurosurgeon to discuss their options and determine the best course of action for their individual situation.

Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. It is a complex phenomenon that can result from various stimuli, such as thermal, mechanical, or chemical irritation, and it can be acute or chronic. The perception of pain involves the activation of specialized nerve cells called nociceptors, which transmit signals to the brain via the spinal cord. These signals are then processed in different regions of the brain, leading to the conscious experience of pain. It's important to note that pain is a highly individual and subjective experience, and its perception can vary widely among individuals.

I'm sorry for any confusion, but "pilot projects" is not a medical term per se. Instead, it is a general term used in various fields, including healthcare and medicine, to describe a small-scale initiative that is implemented on a temporary basis to evaluate its feasibility, effectiveness, or impact before deciding whether to expand or continue it.

In the context of healthcare, pilot projects might involve testing new treatment protocols, implementing innovative care models, or introducing technology solutions in a limited setting to assess their potential benefits and drawbacks. The results of these projects can help inform decisions about broader implementation and provide valuable insights for improving the quality and efficiency of healthcare services.

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

Oxygen is a colorless, odorless, tasteless gas that constitutes about 21% of the earth's atmosphere. It is a crucial element for human and most living organisms as it is vital for respiration. Inhaled oxygen enters the lungs and binds to hemoglobin in red blood cells, which carries it to tissues throughout the body where it is used to convert nutrients into energy and carbon dioxide, a waste product that is exhaled.

Medically, supplemental oxygen therapy may be provided to patients with conditions such as chronic obstructive pulmonary disease (COPD), pneumonia, heart failure, or other medical conditions that impair the body's ability to extract sufficient oxygen from the air. Oxygen can be administered through various devices, including nasal cannulas, face masks, and ventilators.

Anxiety: A feeling of worry, nervousness, or unease, typically about an imminent event or something with an uncertain outcome. In a medical context, anxiety refers to a mental health disorder characterized by feelings of excessive and persistent worry, fear, or panic that interfere with daily activities. It can also be a symptom of other medical conditions, such as heart disease, diabetes, or substance abuse disorders. Anxiety disorders include generalized anxiety disorder, panic disorder, social anxiety disorder, and phobias.

Equipment design, in the medical context, refers to the process of creating and developing medical equipment and devices, such as surgical instruments, diagnostic machines, or assistive technologies. This process involves several stages, including:

1. Identifying user needs and requirements
2. Concept development and brainstorming
3. Prototyping and testing
4. Design for manufacturing and assembly
5. Safety and regulatory compliance
6. Verification and validation
7. Training and support

The goal of equipment design is to create safe, effective, and efficient medical devices that meet the needs of healthcare providers and patients while complying with relevant regulations and standards. The design process typically involves a multidisciplinary team of engineers, clinicians, designers, and researchers who work together to develop innovative solutions that improve patient care and outcomes.

Analgesia is defined as the absence or relief of pain in a patient, achieved through various medical means. It is derived from the Greek word "an-" meaning without and "algein" meaning to feel pain. Analgesics are medications that are used to reduce pain without causing loss of consciousness, and they work by blocking the transmission of pain signals to the brain.

Examples of analgesics include over-the-counter medications such as acetaminophen (Tylenol) and nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil, Motrin) and naproxen (Aleve). Prescription opioid painkillers, such as oxycodone (OxyContin, Percocet) and hydrocodone (Vicodin), are also used for pain relief but carry a higher risk of addiction and abuse.

Analgesia can also be achieved through non-pharmacological means, such as through nerve blocks, spinal cord stimulation, acupuncture, and other complementary therapies. The choice of analgesic therapy depends on the type and severity of pain, as well as the patient's medical history and individual needs.

Heart rate is the number of heartbeats per unit of time, often expressed as beats per minute (bpm). It can vary significantly depending on factors such as age, physical fitness, emotions, and overall health status. A resting heart rate between 60-100 bpm is generally considered normal for adults, but athletes and individuals with high levels of physical fitness may have a resting heart rate below 60 bpm due to their enhanced cardiovascular efficiency. Monitoring heart rate can provide valuable insights into an individual's health status, exercise intensity, and response to various treatments or interventions.

In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.

For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.

Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.

Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.

... is a form of conscious sedation where an inhaled drug should: Depress the central nervous system (CNS) to ... "Standards for Conscious Sedation in the Provision of Dental Care: Report of the Intercollegiate Advisory Committee for Sedation ... "BDA Advice - Conscious Sedation" (PDF). baos.co.uk. November 2011. Retrieved 30 December 2017. Becker, Daniel E.; Rosenberg, ... The following are possible uses for conscious sedation "dental anxiety and phobia, a need for prolonged or traumatic dental ...
"Nitrous Oxide Conscious Sedation Training". Nitrous Oxide Analgesia Equipment. Retrieved 21 December 2020. "Mark Gillman - ... He has addressed over 250 academic and lay audiences on conscious sedation with nitrous oxide and stress management both ... Gillman is known primarily for his research on conscious sedation with nitrous oxide/oxygen. Gillman pursued his bachelor's ... along with five full-length books and a best-selling electronic presentation-textbook on the technique of conscious sedation ...
Moderate sedation - purposeful response to verbal/tactile stimulation. (This is usually referred to as "conscious sedation") ... Sedation methods in dentistry include inhalation sedation (using nitrous oxide), oral sedation, and intravenous (IV) sedation. ... To avoid sedation risks, care providers conduct a thorough pre-sedation evaluation and this process includes pre-sedation ... The most common standard conscious sedation technique for adults is intravenous sedation using Midazolam. This requires a ...
This procedure is typically performed under conscious sedation. Many techniques have been described to remove foreign bodies ...
"The rate of adverse events during IV conscious sedation". General Dentistry. 60 (5): e341-4. PMID 23032244. Hamilton JG (August ...
With conscious sedation, you remain comfortable and pain-free. The term "medication dentistry" is also referred to as anxiety- ... They have been developed specifically for the purpose of conscious sedation in dentistry. Sleep dentistry is a common term once ... The dentist will determine which medication is best used during sedation. This is probably the most well recognized drug used ... The patient is not in an extended sleep during throughout oral sedation, but is rather relaxed and comfortable throughout the ...
"The rate of adverse events during IV conscious sedation". General Dentistry. 60 (5): e341-4. PMID 23032244. Hadaway L (August ...
Pediatric conscious sedation utilizing enteral methods (oral, rectal, sublingual)". Archived from the original on 2011-07-22. ...
Chapter 17 - Anesthesiology Principles, Pain Management, and Conscious Sedation. ISBN 0-7216-5368-5. Miller, Ronald (2005). ... It can also be used for sedation during procedures or in the ICU. Like the other agents mentioned above, it renders patients ... While there are many drugs that can be used intravenously to produce anesthesia or sedation, the most common are: Barbiturates ... Benzodiazepines can be used for sedation before or after surgery and can be used to induce and maintain general anesthesia. ...
Therapy is generally performed with the patient under conscious sedation; however, in cases where intra-procedural pain is ...
THD can be performed with conscious sedation, local or general anesthesia. After the operation, a high-fiber diet with plenty ...
Intercollegiate Advisory Committee for Sedation in Dentistry) (2015). Standards for Conscious Sedation in the Provision of ... Conscious sedation refers to the use of a single or combination of drugs to help relax and reduce pain during a medical or ... Conscious sedation is traditionally considered a short-term solution for patients with dental anxiety, but recent research ... Pharmacological techniques to manage dental fear range from conscious sedation to general anaesthesia; these are often used and ...
The more common technique for the awake craniotomy is conscious sedation. In conscious sedation, the patient is only sedated ...
The band entered the studio to record the album The Conscious Sedation. In November 2009, the band shot a music video for the ... During the recording of their debut full-length album, The Conscious Sedation, the band recruited a lead guitarist - ex-Abigail ... The Conscious Sedation 2012 - Ephemera (single) 2016 - Miserycorde "(1) SYSTEM DIVIDE - Hey everyone, We understand there is ...
Pulse dye laser treatment does not need conscious sedation or local anesthetic. It takes 2 to 4 treatments, but can be many ...
Hosey, M.T. (2002). "Managing anxious children: the use of conscious sedation in paediatric dentistry" (PDF). International ... Sometimes oral, IV or gas sedation such as nitrous oxide will be used to calm the patient prior to or during use. Using a ... It is also sometimes used during medical emergencies to keep an individual from moving when total sedation is not possible. It ... As a result, restraint is preferred by some parents as an alternative to sedation, behavior management/anxiety reduction ...
Prescriptions or orders received from areas outside of the conscious sedation area are not acceptable. There has to be a single ... A consent form must be signed and received from the patient or guardian indicating the conscious sedation and the procedure ... All vital signs All orders for conscious sedation for patients must be written. ... Sedation personnel should include a physician and a registered or practical nurse. Documentation and monitoring of physiologic ...
... it requires only local anesthesia and sometimes conscious sedation, and it is minimally invasive. The procedure is performed by ...
"Guidelines for intraoperative monitoring of dental patients undergoing conscious sedation, deep sedation, and general ... Dental Organization of Conscious Sedation and the American Dental Society of Anesthesiology are scheduled to attend and address ... sedation and the control of anxiety and pain. The ADSA publishes a quarterly scientific journal of dental sedation and ... "American Dental Association - Sedation, airway management course to debut later this year". ADA. Archived from the original on ...
The procedure can be performed with general anesthesia or under conscious sedation in an angiographic room. A system of coaxial ...
The aim of conscious sedation or MAC is to provide a safe and comfortable anesthetic while maintaining the patient's ability to ... Patients who undergo conscious sedation or monitored anesthesia care are never meant to be without recall. Whether a patient ... Conscious sedation and monitored anesthesia care (MAC) refer to an awareness somewhere in the middle of the spectrum, depending ... Explicit or conscious memory, which refers to the conscious recollection of previous experiences. An example of explicit memory ...
These procedures are typically completed under local anesthesia with or without conscious sedation, as the patient prefers. ...
The procedure is carried out under local anesthesia (with or without conscious sedation) on an outpatient basis. There appear ...
Nitrous oxide is commonly used in dentistry as a method of conscious inhalation sedation, particularly for children. This has ... Takkar D, Rao A, Shenoy R, Rao A, Saranya BS (July 2015). "Evaluation of nitrous oxide inhalation sedation during inferior ... February 2015). "Nitrous oxide procedural sedation in non-fasting pediatric patients undergoing minor surgery: a 12-year ... Ashley, Paul F.; Chaudhary, Mohsin; Lourenço-Matharu, Liege (17 December 2017). "Sedation of children undergoing dental ...
Robb ND, Leitch J, O'Brien C. Predoctoral Teaching in Intravenous Conscious Sedation: Ten Years at Glasgow Dental School. ... Wray D, Stenhouse D, Lee D, Clark A. Elsevier, London, 2003 - chapters on conscious sedation techniques and extractions. ... Chapter on analgesia, sedation and general anaesthesia. Ramsay G, Haynes AB, Lipsitz SR, Solsky I, Leitch J, Gawande AA, Kumar ... Reaction time-monitored patient-maintained propofol sedation: a pilot study in oral surgery patients. Anaesthesia, 2013, 68: ...
... nonverbal communication or even general anesthesia and conscious sedation. When fear of dental work is not overcome in ...
It is used for conscious sedation and as a part of a rapid sequence induction to induce anaesthesia. It is used as an ... Using a continuous etomidate infusion for sedation of critically ill trauma patients in intensive care units has been ... Ledingham IM, Watt I (June 1983). "Influence of sedation on mortality in critically ill multiple trauma patients". Lancet. 1 ( ... US Patent 3354173 'Imidazole carboxylates' Vinson DR, Bradbury DR (June 2002). "Etomidate for procedural sedation in emergency ...
The procedure is usually done under general anesthesia, but may be done with the use of conscious sedation. The enteroscope and ...
IV sedation or conscious sedation ). The latter became the doctor-preferred means of rendering the service, as it offered ... With today's MUA procedure, deep conscious sedation is accomplished with agents such as propofol, through monitored anesthesia ... this was likely due to safer anesthesia used for conscious sedation, along with increased interest in spinal manipulation (SM ... of Osteopathy consensus statement for osteopathic manipulation of somatic dysfunction under anesthesia and conscious sedation ...
Conscious sedation and/or localized numbing medication may be used to make the patient more comfortable during the procedure. ...
Oppose Rule 150-13-.01 Conscious Sedation Permits. We oppose due to the lack of evidence supporting the safety concerns. We ...
Feistritzer said conscious sedation is by far preferred in German practice. "Many sites do conscious sedation with a local ... Cite this: SOLVE-TAVI at 1 Year: Parity for Sapien 3 and Evolut R Valves, Conscious Sedation Rules - Medscape - Oct 19, 2020. ... All-cause mortality at 1 year was 19.4% for general anesthesia and 15.2% for conscious sedation, for a cause-specific HR of ... At the media briefing, Kodali said that at his center, most TAVRs are performed with conscious sedation, "but I still think ...
J.P. Abenstein, M.S.E.E., M.D., was quoted in a Star Tribune (Minn.) article regarding the use of conscious sedation for ... ASA immediate past president discusses conscious sedation with the Star Tribune. ...
Learn about the success of subcutaneous dissociative conscious sedation in maintaining airway tone and reducing mortality. ... M. J. Javid, "Conscious Sedation with Subcutaneous Ketamine as an Alternative to Airway Regional Blocks," 1st International ... Subcutaneous Dissociative Conscious Sedation (sDCS) a New Approach to Compromised Airway in Mediastinal Masses () ... M. Javid, M. Rahim and S. Rafiian, "Subcutaneous Dissociative Conscious Sedation (sDCS) a New Approach to Compromised Airway in ...
43-11-21 - Conscious sedation. O.C.G.A. 43-11-21 (2010). 43-11-21. Conscious sedation (a) No dentist licensed and practicing in ... administration of pharmacologic agents for conscious sedation and the handling of emergencies relating to conscious sedation. ... Conscious sedation There is a newer version of the Georgia Code 2022. 2021. 2020. 2019. 2018. Other previous versions ... 1) Has received formal training in the use of conscious sedation at an institution accredited by the Commission on Dental ...
Have you already received a diagnosis and would like a second opinion?. Schedule an Appointment Obtain Second Opinion ...
Oral conscious sedation is a wonderful option for patients who need more than just nitrous oxide. Call Clay Center Family ... There are a number of conscious sedation techniques, but they all have certain things in common. When we use conscious sedation ... Oral sedation is a method of conscious sedation where Dr. Kruse uses pills to sedate a patient. Most healthy adults are good ... Conscious sedation is modern dentistry that lets even the most high fear patient have a relaxing and comfortable dental visit. ...
Find a local sedation dentist near you for help with dental phobia and anxiety. Find an affordable Maryland sedation dentist ... Low cost sedation dental treatment with flexible patient financial plans available. ... Maryland Sedation Dentist Directory. Click on the town nearest you for detailed information on quality dentists in your area. ... To find a Sedation Dentist near you, enter your postal code below.. ...
... as well as updates on adult oral conscious sedation protocols. You will review the critical psychology of the sedation patient ... Adult Oral Conscious Sedation Recertification can help you stay abreast to ensure that you are providing your patients with the ... Adult Oral Conscious Sedation Re-Certification: DOCS (In-person course). 7 CEU, Core • Member Price: $599 early / $650 regular ... Feck co-founded the Dental Organization for Conscious Sedation, now known as DOCS Education, with Dr. Michael Silverman in 1999 ...
Our purpose in writing is to clarify the way forward for the consideration of the findings of the Standards for Conscious ... Standards for Conscious Sedation in the Provision of Dental Care Report. Date published: 21 April 2016 ... Scotland and Wales Standards for Conscious Sedation in the Provision of Dental Care Report. PDF (169 KB) ... purpose in writing is to clarify the way forward for the consideration of the findings of the Standards for Conscious Sedation ...
However, you can overcome dental fear with oral conscious sedation.. What is oral conscious sedation?. Oral conscious sedation ... Who should consider oral conscious sedation?. You may want to consider oral sedation if: * You are fearful or anxious of dental ... Oral conscious sedation can give you the peace of mind you need in order to undergo dental work. You may enjoy better overall ... Sedation medications have an amnesic effect, so youll have few, if any, memories of the visit.. ...
Perceptions of UK secondary care adult dental conscious sedation clinics: a qualitative analysis. Journal of Disability and ... Perceptions of UK secondary care adult dental conscious sedation clinics: a qualitative analysis ...
Oral & IV Sedation Dentistry for Children in Las Vegas NV; Is Conscious Sedation Safe For Your Child? Going to the dentist can ... Conscious sedation is safe for your child!. Smile Reef relates the benefits of utilizing sedation dentistry for your children. ... Oral & IV Sedation Dentistry for Children in Las Vegas NV; Is Conscious Sedation Safe For Your Child?. ... Nitrous oxide is an odorless and tasteless gas that put children in a conscious sedation during their procedures. It is ...
Learn about conscious sedation, IV sedation, dental anesthesia, 92660 concious sedation and how to sleep through your next ... Ask how you can combine cosmetic dentistry with sedation for the smile youve always wanted. Find a sedation dentist in your ... What you need to know about concious sedation in the 92660 area. Find a local dentist near you for the comfortable anxiety free ... Newport Beach Area Sedation Dentists. Local 92660 Sedation Dental Care - Concious Sedation. ...
Learn about conscious sedation, IV sedation, dental anesthesia, 94087 concious sedation and how to sleep through your next ... Ask how you can combine cosmetic dentistry with sedation for the smile youve always wanted. Find a sedation dentist in your ... What you need to know about 94087 concious sedation. Find a local dentist near you for the comfortable anxiety free dental care ... Laughing Gas (Nitrous Oxide) During Sedation Dentistry. The most commonly employed technique used in conscious sedation ...
Talk to a local sedation specialist about your dental fears, anxiety or phobias. Learn about conscious sedation, IV sedation, ... Find a local area sedation dentist near you. ... Conscious Sedation Dentistry. While many younger patients in ... it may be necessary to use one of the techniques of conscious sedation, deep sedation or general anesthesia. ... Inhalation conscious sedation, using nitrous oxide, or laughing gas, is also highly effective in a mildly apprehensive older ...
What you need to know about conscious sedation Northfield, IL. Find a local cosmetic dentist near you for the perfect teeth you ...
Learn about conscious sedation, IV sedation, dental anesthesia, 60462 conscious sedation protocol and how to sleep through your ... Ask how you can combine cosmetic dentistry with sedation for the smile youve always wanted. Find a sedation dentist in your ... What you need to know about conscious sedation protocol in the 60462 area. Find a local dentist near you for the comfortable ... Orland Park Area Sedation Dentists. Local 60462 Sedation Dental Care - Conscious Sedation Protocol. ...
Conscious Sedation. "Conscious sedation", is not meant to knock you out - thats why youre still conscious! We offer two types ... Ask us if you are a candidate for conscious sedation. We are happy to make you comfortable in order to promote your overall ... Let us help you overcome your dental fears! Call us today to see if conscious sedation is right for you.. ... What Is Oral Sedation?. Patients who feel uncomfortable about their dental treatment can choose to receive oral sedation. This ...
Talk to a local sedation specialist about your dental fears, anxiety or phobias. Learn about conscious sedation, IV sedation, ... Find a local area sedation dentist near you. ... The use of conscious sedation such as laughing gas, as part of ... More Sedation Dentists in the Fords, NJ Area Near You. Wang, Victor C D.D.S.. 163 Washington Valley Rd. Warren, NJ, 07059-7180 ... Fords Sedation Dentistry For comfortable tooth cleaning in the Fords, New Jersey area, Dr. Steven Puma is known for having a ...
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Talk to a local sedation specialist about your dental fears, anxiety or phobias. Learn about conscious sedation, IV sedation, ... Find a local area sedation dentist near you. ... Learn About Sedation Dentists - FAQs About Sedation Dentistry. ... More Sedation Dentists in the Fords, NJ Area Near You. Maguire, James M D.D.S.. 31 Mountain Blvd. Warren, NJ, 07059-5644. ... Fords Sedation Dentistry For comfortable tooth cleaning in the Fords, New Jersey area, Dr. Steven Puma is known for having a ...
FL concious sedation - Health information. Find a local sedation dentist near you for help with dental phobia and anxiety. Find ... an affordable sedation dentist for the comfortable perfect smile you deserve. Low cost sedation dental treatment with flexible ... fort lauderdale Area Sedation Dentists. Learn About fort lauderdale, FL Concious Sedation. ... Laughing Gas (Nitrous Oxide) During Sedation Dentistry. The most commonly employed technique used in conscious sedation ...
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  • A. Sedation dentists can generally do it all-implants, dentures, cosmetic dentistry treatments, crowns, even gum surgery. (orlandparksedationdentistry.com)
  • Sedation dentists will review your medical history and monitor you closely while under sedation. (orlandparksedationdentistry.com)
  • A. Almost all sedation dentists will review your coverage and, if necessary, make financial arrangements so you get the care you need. (orlandparksedationdentistry.com)
  • Sedation dentists have information available about a variety of drugs known as local anesthetics, which are the safest and most effective drugs in all of medicine. (fortworthsedationdentistry.net)
  • With Orange County dentists at A2 Dental Lounge expertly administering this safe and effective sedation method, your fears and anxieties will be gently alleviated, paving the way for a positive dental experience. (a2dentallounge.com)
  • At A2 Dental Lounge, our dedicated team of Orange County dentists has mastered the art of administering Oral Conscious Sedation with precision and care. (a2dentallounge.com)
  • Our dentists then create a personalized sedation plan tailored to ensure your utmost comfort and safety. (a2dentallounge.com)
  • Our dentists may recommend oral conscious sedation to help you fully relax during your appointment. (pdcmarietta.com)
  • As an expert Scottsdale Sedation Dentists, we allow any patient that fits the medical criteria also that just feels they would like to try and relax. (douglasfamilydentistry.com)
  • If needed, nitrous oxide will be given to further relax you during the appointment, and an experienced sedation dentistry team will monitor your vital signs during the procedure. (patientconnect365.com)
  • Conscious sedation (a) No dentist licensed and practicing in the State of Georgia shall administer either single or multiple pharmacologic agents by oral, parenteral, enteral, transdermal, or transmucosal route that renders a patient to a state of conscious sedation as defined in Code Section 43-11-1, unless such dentist has been issued a permit by the board under the conditions specified therefor in this Code section. (justia.com)
  • e)(1) The board may, upon proper application, grant a provisional permit to administer conscious sedation to any dentist who meets the requirements of paragraph (1) of subsection (b) of this Code section. (justia.com)
  • f) A dentist holding a current, valid permit to administer general anesthesia as provided in this chapter shall not be required to obtain a permit under this Code section in order to administer conscious sedation. (justia.com)
  • Sedation therapy is a safe and effective method to provide dental treatments for young ones that are overwhelmed and frightened of the prospect of visiting the dentist office. (smilereef.com)
  • With sedation dentistry, the gag reflex is suppressed , and the dentist can use their tools efficiently. (smilereef.com)
  • The use of sedation dentistry can help children get the dentist care they need without undo hardships. (smilereef.com)
  • 5. Sedation dentistry can allow the dentist to complete more dental procedures in the one visit , avoiding excessive appointments to the dentist. (smilereef.com)
  • When the circumstances are present, our expert staff members can consult with you on using sedation dentistry to help you and your child have a more pleasant dentist experience. (smilereef.com)
  • The goal sought when laughing gas is used is to eliminate dental anxiety, making the patient more comfortable while the sedation dentist is able to more effectively complete the planned dental care procedure while the patient is sedated. (sunnyvalesedationdentist.com)
  • The patient should tell the sedation dentist and he or she will provide them with even more oxygen to breathe. (sunnyvalesedationdentist.com)
  • This same sensation may develop in the mouth - a benefit to the sedation dentist (and patient) during the dental care treatment. (sunnyvalesedationdentist.com)
  • The sedation dentist will talk with the patient throughout the dental care procedure and the individual will be able to respond without any problem. (sunnyvalesedationdentist.com)
  • A. Your sedation dentist will administer just enough sedation so that you'll be completely unaware of the treatment, as if you were asleep. (orlandparksedationdentistry.com)
  • Patients with heart, lung or liver diseases should consult with their dentist or primary care doctor before undergoing oral sedation. (winchesterdental.ca)
  • New and safe sedation dentistry with Los Angeles area sedation dentist Dr. Maury Masliah means you can have years of dental treatments done quickly while you're lightly sedated, with little or no discomfort. (hollywoodsedationdentist.com)
  • It's called sedation dentistry (performed by a specially trained dentist called a sedation dentist), and it may well be the greatest advance ever made towards truly comfortable and anxiety free dentistry procedures. (denversedationdentistry.net)
  • Once the sedation dentist is aware of the patient's dental anxiety and fears, there are many ways in which they may be addressed. (philadelphiasedationdentistry.net)
  • After an initial consultation with a sedation dentist you'll take a medication just before your next visit. (fortworthsedationdentistry.net)
  • While you're in the chair, the sedation dentist and team monitors you closely. (fortworthsedationdentistry.net)
  • If you shiver down your spine when it is time to visit a dentist, then you can benefit from pain-free or oral conscious sedation dentistry. (conyersendo.com)
  • If you are quite anxious about visiting the dentist, Alicia Dental offers pre-medication sedation to help you relax before you arrive for your appointment. (sedationdentistirvine.com)
  • If dental fear and phobia has prevented you, a family member, or friend from seeing the dentist, then oral conscious sedation could offer a life changing opportunity to receive the dental care that is needed, or the smile that has always been hoped for. (santarosacosmeticdentist.com)
  • Douglas Family Dentistry is one of the premier Scottsdale Sedation Dentist. (douglasfamilydentistry.com)
  • Now because of sedation no one has to be afraid anymore to go to the dentist. (douglasfamilydentistry.com)
  • This review is a bit late, but when taking into consideration my experience, it's NEVER too late to visit the dentist!I found Emigh Dental by googling sedation dentistry. (emighdentalcare.com)
  • In a separate randomization, the 447-patient trial also showed no important differences in 1-year clinical outcomes between patients who received TAVR while under general anesthesia or those who underwent local anesthesia with conscious sedation, similar to the results at 30 days . (medscape.com)
  • J.P. Abenstein, M.S.E.E., M.D., was quoted in a Star Tribune (Minn.) article regarding the use of conscious sedation for transcatheter aortic valve replacements rather than general anesthesia. (asahq.org)
  • Conclusion: Owing to the characteristics of the "subcutaneous dissociative conscious sedation" this method is suggested as an appropriate substitute to general anesthesia for Endobronchial Double Lumen Intubation in mediastinal masses and compromised airway. (scirp.org)
  • M. J. Javid, M. Rahimi and A. Keshvari, "Dissociative Conscious Sedation an Alternative to General Anesthesia for Laparoscopic Peritoneal Dialysis Catheter Implantation: A Randomized Trial Comparing Intravenous and Subcutaneous Ketamine," Peritoneal Dialysis International, Vol. 31, No. 3, 2011, pp. 308-314. (scirp.org)
  • It will not provide deep sedation or general anesthesia. (theanesthesiaconsultant.com)
  • Oral conscious sedation provides a deeper level of sedation than nitrous oxide but is not as profound as general anesthesia. (a2dentallounge.com)
  • You're not put to sleep with oral conscious sedation the way you are with general anesthesia. (bouldercountysmiles.com)
  • one technique the type of anesthesia akinosi was performed under conscious sedition because general anesthesia requires a more intense preparation before treatment and a longer recovery period after treatment. (bvsalud.org)
  • For patients who may feel anxious or nervous during dental appointments, we offer oral conscious sedation. (drmichaelsdentalcare.com)
  • We will then assess your level of sedation, and ask how you feel. (claycenterdentist.com)
  • Depending on the level of sedation, you may be conscious during the procedure but not remember very much of it. (akronsmile.com)
  • 1) Has received formal training in the use of conscious sedation at an institution accredited by the Commission on Dental Accreditation of the American Dental Association (ADA), its successor agency, or other board approved organization and is certified by such organization as competent in the administration of pharmacologic agents for conscious sedation and the handling of emergencies relating to conscious sedation. (justia.com)
  • So long as it is used in the appropriate dose, this medication can be considered one of the most suitable agents for conscious sedation in modern dental practices. (bvsalud.org)
  • Oral conscious sedation is the use of oral medication in combination with nitrous oxide to achieve an appropriate level of relaxation so that you can calmly receive the dental care you need. (patientconnect365.com)
  • This technique involves the use of carefully prescribed medication that induces a calm and comfortable state while allowing you to remain conscious and responsive throughout the procedure. (a2dentallounge.com)
  • Once you've arrived at our Laguna Hills area office, the full sedation medication will be administered, and you will wake up to the results you desired - relaxed and with little or no memory of the dental treatment itself. (sedationdentistirvine.com)
  • Our sedation medication is designed to relax your muscles, allowing your jaw to remain comfortable for several hours, if necessary. (bouldercountysmiles.com)
  • Upon acceptance of the sedation medical history in most cases medication will be called in to get a great nights sleep, then additional medication will be given at appointment. (douglasfamilydentistry.com)
  • With conscious sedation dentistry , medication is given in advance of a dental procedure so patients feel a greater peace of mind. (akronsmile.com)
  • SOLVE-TAVI shows "that local anesthesia with conscious sedation could be safely performed in the majority of patients. (medscape.com)
  • Oral sedation is a wonderful option for patients who need more than just nitrous oxide. (claycenterdentist.com)
  • Many of the medications used in conscious sedation have an amnesiac effect as well, leaving patients with little or no memory of their dental appointment, and further adding to the feeling that the patient was asleep. (claycenterdentist.com)
  • Adult Oral Conscious Sedation Recertification can help you stay abreast to ensure that you are providing your patients with the most up-to-date, comprehensive care available. (sdds.org)
  • No matter the circumstance, there are solutions, and among them is having patients undergo sedation to complete their professional dental care. (smilereef.com)
  • Patients who feel uncomfortable about their dental treatment can choose to receive oral sedation. (winchesterdental.ca)
  • Patients receiving oral conscious sedation are not permitted to drive a car or operate a motor vehicle for 24 hours following their appointment. (philadelphiasedationdentistry.net)
  • SEDASYS® is indicated "for the intravenous administration of 1 percent (10 milligrams/milliliters) propofol injectable emulsion for the initiation and maintenance of minimal to moderate sedation, as identified by the American Society of Anesthesiologists Continuum of Depth of Sedation, in adult patients (American Society of Anesthesiologists physical status I or II) undergoing colonoscopy and esophagoduodenoscopy procedures. (theanesthesiaconsultant.com)
  • Oral sedation is at no charge to our patients. (drmichaelsdentalcare.com)
  • Oral conscious sedation is a method of sedation dentistry that involves administering oral medications (usually in the form of pills or liquids) to help patients relax and manage anxiety during dental procedures. (a2dentallounge.com)
  • Even patients with the most intense "dental phobia" can relax and even enjoy their visits with the aid of sedation dentistry. (bouldercountysmiles.com)
  • In addition to alleviating anxiety, oral conscious sedation can help patients with a variety of conditions. (thecarrolltondentist.com)
  • Sedation dentistry is a way for patients to have the dental work they want and need, even if they are especially anxious of having dental work performed. (stopdentalfear.com)
  • At Akron Smile, we utilize conscious sedation dentistry to complete much-needed dental work while keeping our patients at ease. (akronsmile.com)
  • However, sedation isn't just for our fearful patients. (akronsmile.com)
  • For all of these issues, conscious sedation can help patients relax, control their movements, and experience a relaxing visit. (akronsmile.com)
  • Today's sedation methods have been tested for years and offer our patients a comfortable, non-habit forming, gentle experience. (akronsmile.com)
  • The Criticare nGenuity 8100EP1 Patient Monitor with CO2 allows any healthcare worker to focus on treating patients while ensuring their safety during continuous and post-sedation. (omssupply.com)
  • Only patients in ASA classes I and II are normally suitable for sedation in the primary care dental setting. (wikipedia.org)
  • However, in some patients sedation with nitrous oxide would be unsuitable. (wikipedia.org)
  • This is a relative contraindication because nitrous oxide sedation has been successfully used in patients with other personality and psychiatric disorders. (wikipedia.org)
  • These patients depend partly on a low blood oxygen to initiate a breathing stimulus, so inhalation sedation removes that hypoxic drive. (wikipedia.org)
  • Exclusion criteria: patients who are uncooperative for conscious sedation. (who.int)
  • Most (69.0) clients would prefer the same sedation and analgesia for any subsequent procedure. (bvsalud.org)
  • Conscious sedation and analgesia are one of several methods used to relieve pain during oocyte retrieval in IVF procedures. (bvsalud.org)
  • DOC for conscious sedation analgesia. (medscape.com)
  • Smile Reef relates the benefits of utilizing sedation dentistry for your children. (smilereef.com)
  • The use of inhalation conscious sedation (nitrous oxide and oxygen) has been a mainstay of sedation techniques in dentistry for generations and still represents the most frequently employed technique. (philadelphiasedationdentistry.net)
  • Oral Conscious Sedation is extremely safe and easy, your procedure will seem much shorter than it may actually be, so you will be able to get all the work you need done comfortably. (drmichaelsdentalcare.com)
  • You may not remember much about the procedure, and dental sedation can help you feel relaxed and comfortable while we work on improving your oral health and your smile. (bouldercountysmiles.com)
  • I did the sedation dentistry and after the procedure, I didn't even recall what happened. (bouldercountysmiles.com)
  • Sedation Dentistry allows the patient to relax safely through the procedure and have very little memory after. (stopdentalfear.com)
  • Patient Monitor nGenuity 8100 best conscious sedation or post-procedure recovery monitor SpO2 pulse oximetry, non-invasive blood pressure, heart rate, temperature, respiration & ECG. (omssupply.com)
  • GI) endoscopy in the 1970s and the subse- data Indications for the procedure and en- quent development of smaller instruments doscopic findings were recorded. (who.int)
  • Monitored anesthesia care (MAC) combines intravenous sedation with local anesthetic injection, infiltration including tumescent anesthesia, or nerve blocks. (medscape.com)
  • Complications from inhalation sedation are rare, and are those events that require intervention to correct adverse physiological responses. (wikipedia.org)
  • Inhalation sedation using nitrous oxide has a long history of safe use in both medicine and dentistry. (wikipedia.org)
  • There are many different medications and sedation techniques, so it is best to get specifics from Dr. Kruse . (claycenterdentist.com)
  • Sedation medications have an amnesic effect, so you'll have few, if any, memories of the visit. (patientconnect365.com)
  • The medications used for oral sedation are called benzodiazepines. (winchesterdental.ca)
  • IV sedation allows a relaxed state that can be better controlled through the use of medications introduced through an intravenous catheter. (periodontalhealthcenter.com)
  • We have several sedation methods available, including laughing gas, oral sedation medications, and other commonly used sedatives. (bouldercountysmiles.com)
  • If so, our sedation dentistry services in Boulder county can help you relax during treatment. (bouldercountysmiles.com)
  • With oral conscious sedation, it is possible to relax during dental procedures instead of being tense and fearful. (thecarrolltondentist.com)
  • Intervention 1: Intervention group: In intervention no.1 group (20 participants) PPV will be done under monitored anesthesia care(MAC) and conscious sedation. (who.int)
  • Children who receive oral sedation should be monitored for the rest of the day after their appointment & should refrain from participating in any physical activities such as sports. (winchesterdental.ca)
  • Make a sedation dentistry consultation appointment today with Dr. Masliah. (hollywoodsedationdentist.com)
  • If the individual has an even greater degree of dental anxiety, the doctor may prescribe an oral conscious sedative to be taken at home one hour prior to going to sleep on the evening before the appointment. (philadelphiasedationdentistry.net)
  • With oral conscious sedation, you will need a responsible driver to take you home after your appointment. (drmichaelsdentalcare.com)
  • Sedation can be used even with a small dental appointment. (douglasfamilydentistry.com)
  • Offering sedation dentistry in the Laguna Hills, California area, Dr. Kluss assures you that a bright, healthy smile is the result of regular, preventative, professional dental cleanings. (newportbeachsedationdentistry.com)
  • A comparative evaluation of newer sedatives in conscious sedation. (bvsalud.org)
  • If the technique involves the administration of a drug, it is termed conscious sedation dentistry. (philadelphiasedationdentistry.net)
  • This simple form of sedation involves a prescription pill to help you feel at ease so that, by the time you arrive at Polish Dental Center Marietta and begin your treatment, you will be in a deep state of relaxation. (pdcmarietta.com)
  • Is Oral Sedation safe? (claycenterdentist.com)
  • While all methods of sedation are very safe, the history of oral sedation has been especially safe as well as very effective . (claycenterdentist.com)
  • Is Conscious Sedation Safe For Your Child? (smilereef.com)
  • Q. Is sedation dentistry safe for me? (orlandparksedationdentistry.com)
  • When this is not enough, other highly effective and safe sedation techniques can be used to alleviate dental anxiety. (philadelphiasedationdentistry.net)
  • With our anaesthetists at Navasota Dental , we are able to recommend twilight sedation which is extremely safe and highly effective in ensuring your dental visit as relaxing and painless. (navasotadental.com)
  • Dental sedation provides a safe, comfortable experience while you get the care that you need. (bouldercountysmiles.com)
  • How Safe is Dental Sedation? (bouldercountysmiles.com)
  • In fact, sedation dentistry is so safe that it can even be used on children. (akronsmile.com)
  • We at SedationKit.com have comprised a complete KIT with everything you need to provide safe Sedation based on their guidelines. (sedationkit.com)
  • Resource-limited in resource-limited settings in Africa and identify potential barriers to the provision of safe pediatric sedation. (bvsalud.org)
  • The three major qualitative themes regarding barriers to safe pediatric sedation in their settings were: lack of resources, lack of education, and lack of standardization across sites and providers. (bvsalud.org)
  • The results of this study suggest that training specialized pediatric sedation teams, creating portable "pediatric sedation kits, " and producing locally relevant pediatric sedation guidelines may help reduce current barriers to the provision of safe pediatric sedation in resource-limited African settings. (bvsalud.org)
  • To schedule a consultation and learn if oral sedation in Marietta, Georgia, is right for you, call us today at 404-220-7732. (pdcmarietta.com)
  • In addition to fulfilling continuing education requirements, this one-day course will cover the newest studies and research available, as well as updates on adult oral conscious sedation protocols. (sdds.org)
  • Oral sedation dentistry , relaxation dentistry, conscious sedation and anxiety-free dentistry are all terms used to describe this type of treatment. (thecarrolltondentist.com)
  • Oral conscious sedation is a great way to have an anxiety free dentistry experience. (douglasfamilydentistry.com)
  • If the monitors detect signs of over- sedation, e.g. falling oxygen saturation, depressed respiratory rate, or a failure of the end-tidal CO2 curve, the propofol infusion is stopped automatically. (theanesthesiaconsultant.com)
  • Children still may need a local anesthetic to avoid pain, and they are fully conscious and aware. (smilereef.com)
  • Local anesthesia with sedation offers anesthesia personnel and the surgeon great flexibility in tailoring the degree of anesthesia to the needs of the patient. (medscape.com)
  • Sedation was either in the form centre at Soba University Hospital in Khar- of local lignocaine spray 2%, or conscious toum, Sudan from January 2004 to January sedation with intravenous diazepam in a 2006. (who.int)
  • In this report, a successful double lumen endobronchial intubation using "subcutaneous dissociative conscious sedation" as a novel method in the management of compromised airway (a case of a mediastinal mass) is presented. (scirp.org)
  • M. Javid, M. Rahim and S. Rafiian, "Subcutaneous Dissociative Conscious Sedation (sDCS) a New Approach to Compromised Airway in Mediastinal Masses," Open Journal of Anesthesiology , Vol. 2 No. 4, 2012, pp. 166-169. (scirp.org)
  • Oral conscious sedation is given in a pill form that is crushed and placed sublingually so that it will enter a persons system quicker. (douglasfamilydentistry.com)
  • Oral conscious sedation is done by taking a sedative tranquilizer medicine (a pill) and may be supplemented by a medicated air to breathe containing nitrous oxide which is also known as laughing gas. (stopdentalfear.com)
  • All in all, negative side effects from nitrous oxide sedation are neither severe nor common. (winchesterdental.ca)
  • You will review the critical psychology of the sedation patient, expand on your knowledge of sedation pharmacology, and practice airway management and monitoring. (sdds.org)
  • Quantitative data about provider background and sedation practices were collected concurrently with qualitative data about perceived barriers to pediatric procedural sedation and suggestions to improve the practice of pediatric sedation in their settings. (bvsalud.org)
  • Despite 92% of key informants stating that pediatric procedural sedation was critical to their practice, only half reported feeling adequately trained. (bvsalud.org)
  • Over time your child may overcome their fears and will not have to endure sedation for dental treatments. (smilereef.com)
  • With parity between the two anesthesia approaches probably supporting a preference for the latter, the finding may accelerate the field's transition to performing TAVR with the patient under conscious sedation in the overwhelming majority of cases, observers said. (medscape.com)
  • This Code section shall not restrict the use of nitrous oxide or pharmacological agents that do not render a patient to a state of conscious sedation. (justia.com)
  • Oral sedation is a method of conscious sedation where Dr. Kruse uses pills to sedate a patient. (claycenterdentist.com)
  • Conscious sedation is modern dentistry that lets even the most high fear patient have a relaxing and comfortable dental visit . (claycenterdentist.com)
  • That's because sedation feels so relaxing and peaceful that the patient doesn't even notice the passing of time. (claycenterdentist.com)
  • The SEDASYS System is a computer-assisted personalized sedation system integrating propofol delivery with patient monitoring. (theanesthesiaconsultant.com)
  • Sedation also creates a loss of time, as a patient it seems like you were only here for a short amount when you may have been here for a few hours. (douglasfamilydentistry.com)
  • On a visit prior to the treatment session, the anesthesiologist makes a full assessment to determine the need for sedation and the technique most suited to the individual patient. (wikipedia.org)
  • This is because the patient must understand they must minimize talking and mouth breathing to facilitate proper sedation. (wikipedia.org)
  • Most zoonotic cases in At admission, the patient was conscious. (cdc.gov)
  • With our exclusive Oral Conscious Sedation technique, we redefine the dental experience, fostering a calm and soothing atmosphere where you can receive comprehensive oral care without stress. (a2dentallounge.com)
  • This helps determine the sedation technique most appropriate for a positive outcome for each individual. (wikipedia.org)
  • Une technique, le type d'anesthésie Akinosi a été réalisée sous sédation consciente car l'anesthésie générale nécessite une préparation plus intense avant le traitement et une période de récupération plus longue après le traitement. (bvsalud.org)
  • Seeking a way to treat the startling number of people with dental phobia, fear and anxiety, Dr. Feck co-founded the Dental Organization for Conscious Sedation, now known as DOCS Education, with Dr. Michael Silverman in 1999. (sdds.org)
  • Oral conscious sedation is taken orally, while other forms of sedation, like intravenous (IV) sedation or nitrous oxide, are administered through different methods. (a2dentallounge.com)
  • This mixed methods study describes the pediatric procedural sedation practices of African providers using semi-structured interviews. (bvsalud.org)
  • When we use conscious sedation, you don't really fall asleep, even though sometimes it feels like you did. (claycenterdentist.com)