Deep Sedation
Conscious Sedation
Hypnotics and Sedatives
Propofol
Midazolam
Delayed Emergence from Anesthesia
Euthanasia
Anesthetics, Intravenous
Interactive Ventilatory Support
Anesthesia Recovery Period
Anesthetics, Dissociative
Laryngismus
Anesthetics, Combined
Suicide, Assisted
Anesthesia, General
Fentanyl
Ketamine
Belgium
Double Effect Principle
Encyclopedias as Topic
Hospice and Palliative Care Nursing
Continuous deep sedation for patients nearing death in the Netherlands: descriptive study. (1/74)
(+info)Opioid complications and side effects. (2/74)
Medications which bind to opioid receptors are increasingly being prescribed for the treatment of multiple and diverse chronic painful conditions. Their use for acute pain or terminal pain is well accepted. Their role in the long-term treatment of chronic noncancer pain is, however, controversial for many reasons. One of the primary reasons is the well-known phenomenon of psychological addiction that can occur with the use of these medications. Abuse and diversion of these medications is a growing problem as the availability of these medications increases and this public health issue confounds their clinical utility. Also, the extent of their efficacy in the treatment of pain when utilized on a chronic basis has not been definitively proven. Lastly, the role of opioids in the treatment of chronic pain is also influenced by the fact that these potent analgesics are associated with a significant number of side effects and complications. It is these phenomena that are the focus of this review. Common side effects of opioid administration include sedation, dizziness, nausea, vomiting, constipation, physical dependence, tolerance, and respiratory depression. Physical dependence and addiction are clinical concerns that may prevent proper prescribing and in turn inadequate pain management. Less common side effects may include delayed gastric emptying, hyperalgesia, immunologic and hormonal dysfunction, muscle rigidity, and myoclonus. The most common side effects of opioid usage are constipation (which has a very high incidence) and nausea. These 2 side effects can be difficult to manage and frequently tolerance to them does not develop; this is especially true for constipation. They may be severe enough to require opioid discontinuation, and contribute to under-dosing and inadequate analgesia. Several clinical trials are underway to identify adjunct therapies that may mitigate these side effects. Switching opioids and/or routes of administration may also provide benefits for patients. Proper patient screening, education, and preemptive treatment of potential side effects may aid in maximizing effectiveness while reducing the severity of side effects and adverse events. Opioids can be considered broad spectrum analgesic agents, affecting a wide number of organ systems and influencing a large number of body functions. (+info)Anticipation of distress after discontinuation of mechanical ventilation in the ICU at the end of life. (3/74)
(+info)Feasibility and potential cost/benefit of routine isoflurane sedation using an anesthetic-conserving device: a prospective observational study. (4/74)
BACKGROUND: Inhaled sedation is efficient and easily controllable; in low concentrations it causes minimal changes in the patient and very little interference with hemodynamics. Awakening after inhaled sedation is quick and predictable. The major reason inhaled sedation has not become widely used in intensive care is that no commercially available administration device has been available. METHODS: In our intensive care unit we conducted a prospective observational study to assess the feasibility, benefits, and costs of routine isoflurane sedation via the AnaConDa anesthetic-administration device. We included 15 adult patients who required > 24 hours of deep sedation. Conventional intravenous sedation (benzodiazepine and opioid) had been administered according to a sedation protocol that included a predetermined target Ramsay-scale sedation score. We then switched to inhaled isoflurane via the AnaConDa, and measured sedation efficacy, cumulative dose, and daily cost of sedation. Adverse events were prospectively defined and monitored. RESULTS: The sedation goal was reached with isoflurane in all 15 patients (P < .01, compared to the conventional sedation protocol). Hemodynamic changes were nonsignificant, and no renal or hepatic dysfunctions were observed. The frequency of meeting the sedation goal was significantly better with isoflurane than with our usual sedation protocol. With isoflurane, awakening from sedation was alwaysPresence of electroencephalogram burst suppression in sedated, critically ill patients is associated with increased mortality. (5/74)
(+info)Bispectral index-guided intraoperative sedation with dexmedetomidine and midazolam infusion in outpatient cataract surgery. (6/74)
BACKGROUND: This study aimed to evaluate the role of alfa-2 agonist infusion, with dexmedetomidine or midazolam, on hemodynamic and respiratory parameters while titrating the sedation level with the bispectral index (BIS) during cataract surgery. METHODS: Ninety consenting ASA class I-III patients who were electively undergoing cataract surgery were enrolled in the double blind study. A random infusion of 0.25 microg kg(-1) hr(-1) Dexmedetomidine (Group D), 25 microg kg(-1) hr(-1) midazolam (Group M), or saline for controls (Group C) was administered after mounting a BIS monitor and routine anesthetic care. The target BIS level was >85. An additional bolus dose in 1 mL increments of the study drug or cessation of the infusion was adjusted according to the BIS level. Changes in respiratory and vital parameters were noted and, in case of mild pain, 25 microg fentanyl was administered as a bolus. Pain and sedation were evaluated in the early postoperative period using visual analogue and four rating sedation scales. RESULTS: In Group D, heart rate decreased in the later periods of surgery (35-50 min) and in the early postoperative period (5(th) and 15(th) min). Dose adjustments were required in six and ten patients in Groups D and M, respectively. Pain scores were lower with dexmedetomidine infusion. CONCLUSIONS: Dexmedetomidine infusion mildly decreased heart rate in the later periods of surgery with better pain scores in the postoperative period. Dexmedetomidine should be an alternative for intraoperative sedation in outpatient cataract surgery. (+info)Retrospective outcomes evaluation of 100 parenteral moderate and deep sedations conducted in a general practice dental residency. (7/74)
(+info)Determination of a sedative protocol for use in California sea lions (Zalophus californianus) with neurologic abnormalities undergoing electroencephalographic examination. (8/74)
Sedation in sea lions exhibiting abnormal neurologic signs may require modification of established sedatior protocols because of the likely interaction between effects of the sedative and physiologic changes in diseased animals The effects of two sedative combinations, 0.07 mg/kg medetomidine and 0.07 mg/kg medetomidine plus 0.2 mg/kg butorphanol, were compared between California sea lions (Zalophus californianus) with signs of neurologic dysfunctior (n=33) and without neurologic signs (n=8). Sedation depth was scored on a scale of 0 (no effect) to 4 (profound sedation) assessed by response to auditory, tactile, and visual stimuli at the time of perceived maximal sedative effect In the medetomidine-alone group, sea lions with neurologic signs attained a median sedation score of 4 compared to a median sedation score of 1 in the clinically normal sea lions. Sea lions with and without neurologic signs giver medetomidine-butorphanol attained a median sedation score of 4. No statistically significant difference in time to induction and respiratory rate was found between the two sedation protocols in all sea lions. In the sea lions with neurologic signs, the recovery time from medetomidine-butorphanol sedation was prolonged (P < 0.01) and minimum recorded heart rates, although remaining within normal physiologic limits, were lower (P = 0.02) when compared to the sea lions administered medetomidine alone. Muscle jerks were observed in many animals given medetomidine-butorphanol and were detrimental to the diagnostic quality of the electroencephalogram (EEG) recording. Medetomidine alone at a dose rate of 0.07 mg/kg thus provides adequate and safe sedation in sea lions with neurologic signs undergoing EEG evaluation. (+info)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.
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.
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.
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.
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.
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.
Delayed emergence from anesthesia is a medical condition where a patient takes an unusually long time to regain consciousness after general anesthesia. The exact duration of "normal" emergence can vary depending on several factors, including the type and duration of anesthesia, the patient's age, health status, and other medications they may be taking. However, if a patient has not regained full consciousness within 30 minutes to an hour after the surgery, it is generally considered a delayed emergence.
There can be various causes for delayed emergence from anesthesia. Some of the common reasons include:
1. Residual effects of anesthetic drugs: If the anesthesiologist has not adequately reversed the muscle relaxants or if the anesthetic agents have a prolonged action, it can delay the patient's emergence from anesthesia.
2. Hypothermia: Accidental hypothermia during surgery can slow down the metabolism of anesthetic drugs and contribute to delayed emergence.
3. Hypoventilation or hypercarbia: Inadequate ventilation leading to high carbon dioxide levels in the blood can prolong recovery from anesthesia.
4. Metabolic or endocrine disorders: Conditions such as diabetes, hypothyroidism, or electrolyte imbalances can affect the patient's response to anesthesia and delay emergence.
5. Postoperative complications: Complications like stroke, heart attack, or bleeding can also cause delayed emergence from anesthesia.
6. Medications: Certain medications, such as sedatives or opioids, can interact with anesthetic drugs and prolong recovery.
7. Patient factors: Older age, poor health status, and certain genetic factors can contribute to a delayed emergence from anesthesia.
Anesthesiologists closely monitor patients during the recovery phase and take appropriate measures to address any potential causes of delayed emergence. This may include providing additional oxygen, adjusting ventilation, administering reversal agents for muscle relaxants, or addressing any underlying medical conditions. In some cases, further evaluation in an intensive care unit (ICU) might be necessary to ensure the patient's safety and proper recovery.
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.
Euthanasia is the act of intentionally ending a person's life to relieve suffering, typically carried out at the request of the person who is suffering and wants to die. This practice is also known as "assisted suicide" or "physician-assisted dying." It is a controversial issue that raises ethical, legal, and medical concerns.
Euthanasia can be classified into two main types: active and passive. Active euthanasia involves taking direct action to end a person's life, such as administering a lethal injection. Passive euthanasia, on the other hand, involves allowing a person to die by withholding or withdrawing medical treatment that is necessary to sustain their life.
Euthanasia is illegal in many countries and jurisdictions, while some have laws that allow it under certain circumstances. In recent years, there has been growing debate about whether euthanasia should be legalized and regulated to ensure that it is carried out in a humane and compassionate manner. Supporters argue that individuals have the right to choose how they die, especially if they are suffering from a terminal illness or chronic pain. Opponents, however, argue that legalizing euthanasia could lead to abuse and coercion, and that there are alternative ways to alleviate suffering, such as palliative care.
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.
Interactive Ventilatory Support (IVS) is not a widely recognized or established medical term with a universally accepted definition. However, in the context of mechanical ventilation, it generally refers to a mode of support that allows for some level of interaction between the patient's own breathing efforts and the ventilator's assistance.
One example of IVS is called "Pressure Regulated Volume Control with Automatic Tube Compensation" (PRVC-ATC). In this mode, the ventilator delivers a preset volume while adjusting the pressure to maintain a constant flow, and it compensates for the resistance of the endotracheal tube. The patient's spontaneous breaths are assisted by a lower level of pressure, allowing for some interaction between the patient's efforts and the ventilator's support.
It is important to note that different manufacturers may use the term "Interactive Ventilatory Support" or similar terms to describe various modes or functions of their mechanical ventilators. Therefore, it is always recommended to refer to the specific definitions provided by the manufacturer's user manual or clinical literature.
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.
Dissociative anesthetics are a class of drugs that produce a state of altered consciousness, characterized by a sense of detachment or dissociation from the environment and oneself. These drugs work by disrupting the normal communication between the brain's thalamus and cortex, which can lead to changes in perception, thinking, and emotion.
Some examples of dissociative anesthetics include ketamine, phencyclidine (PCP), and dextromethorphan (DXM). These drugs can produce a range of effects, including sedation, analgesia, amnesia, and hallucinations. At high doses, they can cause profound dissociative states, in which individuals may feel as though they are outside their own bodies or that the world around them is not real.
Dissociative anesthetics are used medically for a variety of purposes, including as general anesthetics during surgery, as sedatives for diagnostic procedures, and as treatments for chronic pain and depression. However, they also have a high potential for abuse and can produce significant negative health effects when taken recreationally.
Laryngospasm, often mistakenly referred to as "laryngismus," is a medical condition characterized by an involuntary and sustained closure of the vocal cords (the structures that form the larynx or voice box). This spasm can occur in response to various stimuli, such as irritation, aspiration, or emotional distress, leading to difficulty breathing, coughing, and stridor (a high-pitched sound during inspiration).
The term "laryngismus" is not a widely accepted medical term; however, it may be used informally to refer to any condition affecting the larynx. The correct term for a prolonged or chronic issue with the larynx would be "laryngeal dyskinesia."
Combined anesthetics refer to the use of two or more types of anesthetic agents together during a medical procedure to produce a desired level of sedation, amnesia, analgesia, and muscle relaxation. This approach can allow for lower doses of individual anesthetic drugs, which may reduce the risk of adverse effects associated with each drug. Common combinations include using a general anesthetic in combination with a regional or local anesthetic technique. The specific choice of combined anesthetics depends on various factors such as the type and duration of the procedure, patient characteristics, and the desired outcomes.
Assisted suicide, also known as physician-assisted dying or voluntary euthanasia, is a practice in which a healthcare professional knowingly and intentionally provides a competent patient, who has requested it, with the means to end their own life. This usually involves prescribing a lethal medication that the patient can self-administer to bring about a peaceful and dignified death. Assisted suicide is a controversial topic and is illegal in many parts of the world, while some countries and states have laws allowing it under certain circumstances. It's important to note that the specific definition and legality may vary depending on the jurisdiction.
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.
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.
**Ketamine** is a dissociative anesthetic medication primarily used for starting and maintaining anesthesia. It can lead to a state of altered perception, hallucinations, sedation, and memory loss. Ketamine is also used as a pain reliever in patients with chronic pain conditions and during certain medical procedures due to its strong analgesic properties.
It is available as a generic drug and is also sold under various brand names, such as Ketalar, Ketanest, and Ketamine HCl. It can be administered intravenously, intramuscularly, orally, or as a nasal spray.
In addition to its medical uses, ketamine has been increasingly used off-label for the treatment of mood disorders like depression, anxiety, and post-traumatic stress disorder (PTSD), owing to its rapid antidepressant effects. However, more research is needed to fully understand its long-term benefits and risks in these applications.
It's important to note that ketamine can be abused recreationally due to its dissociative and hallucinogenic effects, which may lead to addiction and severe psychological distress. Therefore, it should only be used under the supervision of a medical professional.
Terminal care, also known as end-of-life care or palliative care, is a type of medical care provided to patients who are in the final stages of a terminal illness or condition. The primary goal of terminal care is to provide comfort, dignity, and quality of life for the patient, rather than attempting to cure the disease or prolong life.
Terminal care may involve managing pain and other symptoms, providing emotional and psychological support to both the patient and their family, and helping the patient plan for the end of their life. This can include discussing advance directives, hospice care options, and other important decisions related to end-of-life care.
The focus of terminal care is on ensuring that the patient's physical, emotional, and spiritual needs are met in a compassionate and supportive manner. It is an essential component of high-quality medical care for patients who are facing the end of their lives.
I'm sorry for any confusion, but "Belgium" is a country located in Western Europe and not a medical term or condition. It is one of the founding members of the European Union and is known for its rich history, culture, and diverse landscape, which includes coastal plains in the northwest, flat agricultural lands in the central region, and the rolling hills and forests in the southeast. It has a highly industrialized economy, with major industries including engineering and manufacturing, transport, and chemical and pharmaceutical production.
The Double Effect Principle is a doctrine in moral and medical philosophy that allows an action that causes a serious harm, such as the death of a human being, as a side effect of promoting some good end. The principle states that an action having two effects -- one good and one bad -- may be morally permissible if the following conditions are met:
1. The action itself must be morally good or neutral.
2. The bad effect must not be the means by which the good effect is achieved.
3. The intention of the person performing the action must be to achieve the good effect, with the bad effect being an unintended side effect.
4. The good effect must be proportionate to the bad effect.
In medical contexts, the Double Effect Principle is often invoked in debates about end-of-life care and the use of potentially life-shortening treatments. For example, a doctor may administer pain-relieving drugs that also have the side effect of shortening the patient's life, if their primary intention is to alleviate the patient's suffering and not to cause their death. The principle is controversial and has been subject to much debate and criticism in bioethics.
An encyclopedia is a comprehensive reference work containing articles on various topics, usually arranged in alphabetical order. In the context of medicine, a medical encyclopedia is a collection of articles that provide information about a wide range of medical topics, including diseases and conditions, treatments, tests, procedures, and anatomy and physiology. Medical encyclopedias may be published in print or electronic formats and are often used as a starting point for researching medical topics. They can provide reliable and accurate information on medical subjects, making them useful resources for healthcare professionals, students, and patients alike. Some well-known examples of medical encyclopedias include the Merck Manual and the Stedman's Medical Dictionary.
Palliative care is a type of medical care that focuses on relieving the pain, symptoms, and stress of serious illnesses. The goal is to improve quality of life for both the patient and their family. It is provided by a team of doctors, nurses, and other specialists who work together to address the physical, emotional, social, and spiritual needs of the patient. Palliative care can be provided at any stage of an illness, alongside curative treatments, and is not dependent on prognosis.
The World Health Organization (WHO) defines palliative care as: "an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychological and spiritual."
Hospice and palliative care nursing is a specialized area of nursing practice that focuses on providing comprehensive comfort-oriented care to patients with life-limiting illnesses or conditions. The goal of hospice and palliative care nursing is to improve the quality of life for both the patient and their family members by managing symptoms, alleviating suffering, and supporting psychological, social, and spiritual needs.
Hospice care is typically provided during the last six months of a patient's life, when curative treatments are no longer effective or desired. The focus shifts to providing supportive care that addresses physical, emotional, and spiritual needs, with an emphasis on pain and symptom management, communication, and family support.
Palliative care, on the other hand, can be provided at any stage of a serious illness, alongside curative treatments if appropriate. Palliative care aims to relieve suffering, improve quality of life, and help patients make informed decisions about their care. It is an interdisciplinary approach that involves medical professionals, nurses, social workers, chaplains, and other specialists working together to provide holistic care.
Hospice and palliative care nurses play a critical role in these settings, as they work closely with patients and families to develop individualized care plans, administer medications, monitor symptoms, provide emotional support, and facilitate communication between healthcare providers, patients, and their loved ones. They also help patients and families navigate complex medical decisions, advance care planning, and grief support.
Palliative sedation
Sedation
Sedation dentistry
Procedural sedation and analgesia
Hypnotic
Central nervous system depression
Multiple myeloma
Cheese (recreational drug)
Lorraine Rothman
Lorazepam
American Dental Society of Anesthesiology
Progesterone (medication)
Methadone
GABAA receptor positive allosteric modulator
People v. Murray
Thiamylal
Nasolacrimal duct obstruction
Methohexital
Manipulation under anesthesia
Abortion
Perphenazine
Post-intensive care syndrome
Communal House of the Textile Institute
Awake craniotomy
Firefly squid
Animal euthanasia
Audio therapy
Deep sleep therapy
Talbutal
Chemical peel
STOP questionnaire to screen for hypoxemia in deep sedation for young and middle-aged colonoscopy
Advanced IV Sedation or Deep Sedation For Abortions.
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The 'French exception': the right to continuous deep sedation at the end of life | Journal of Medical Ethics
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Deep Sedation: France is in danger of buying a deadly illusion. - Hope Australia
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Sedation Dentistry: Can You Really Relax in the Dentist's Chair?
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Indiana Iv Sedation Dentist
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Palliative sedation - Wikipedia
Deep Sedation Orange, CA
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Your 3 Most Important Choices of Sedation Dentistry - Harcourt HealthHarcourt Health
Deep Sedation Dentistry Archives - Dr Hugh Wolfenden
Deep Sedation Dentistry: Things to Know - Century Dental
Deep Sedation and General Anesthesia Licenses in US - LicenseFiles
Optimized Sedation Improves Colonoscopy Quality Long-Term
More and more anxious as IV sedation nears
Fast Fixes of Deep Sedation and Sleep Dentistry - Hacks Dejuegos
Essay On Sedation Dentist - 521 Words | Internet Public Library
IV Sedation + Valium Story (No bad parts- all fears explained!)
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Oregon Board of Dentistry : Continuing Education Requirements : State of Oregon
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Dental Prophylaxis, or Deep Cleaning, is Routine | Sedation Dentistry located in Doral, FL | Doral Sedation & Family Dentistry
Level of sedation7
- Initial doses were adjusted in order to achieve adequate level of sedation and analgesia based on reflexes, HR, arterial pressure and attempt for spontaneous breathing. (vin.com)
- This method allows the dentist to continually adjust the level of sedation. (webmd.com)
- The level of sedation via palliative sedation may be mild, intermediate or deep and the medications may be administered intermittently or continuously. (wikipedia.org)
- This level of sedation is typically achieved with IV sedation or general anesthesia medications, the effects of which may linger for hours after the procedure is completed. (harcourthealth.com)
- Prior to the administration of medications, clinicians must know the level of sedation required for a given procedure and the appropriate dose of the pharmacologic agent or agents chosen. (medscape.com)
- Minimal sedation is the lightest level of sedation, where the patient is awake and aware but is fully relaxed. (smilesdentaldesign.com)
- The dentist will work with you to determine which level of sedation is best for you based on the procedure and your level of anxiety. (smilesdentaldesign.com)
Type of sedation9
- Regardless of which type of sedation you receive, you'll also typically need a local anesthetic -- numbing medication at the site where the dentist is working in the mouth -- to relieve pain if the procedure causes any discomfort. (webmd.com)
- With this type of sedation, your dentist uses an apparatus to cover your nose. (centurydental.org)
- Nitrous oxide can be used in conjunction with a stronger type of sedation. (centurydental.org)
- The effects of this type of sedation last longer compared to other types of sedation. (centurydental.org)
- Nitrous oxide , or laughing gas, has been used in dentistry for over 100 years and is the most common type of sedation for kids, though it can be used for adults as well. (ndscare.com)
- With this type of sedation, anesthesia is delivered through an IV and your vital signs are monitored throughout. (ndscare.com)
- This type of sedation is also safe but it's essential that the dental practice has the necessary monitoring equipment, trained personnel and an anesthesiologist on-hand. (ndscare.com)
- Intravenous sedation is a moderate type of sedation. (drmillerperio.com)
- Recovery depends on the type of sedation administered. (whatclinic.com)
Analgesia8
- However, procedural sedation and/or analgesia (PSA) is often desirable to improve patient comfort. (iasp-pain.org)
- 14 ± 1.2 h), adequate sedation/analgesia was achieved by administration of progressively decreasing doses down to 187 ± 72% of propofol ID in group P, 123 ± 43% of propofol ID in group P/R and 184 ± 58% of remifentanil ID. (vin.com)
- Immediately after tracheal extubation, analgesia, sedation, heart rate, respiratory rate, and arterial blood pressure were measured at predetermined intervals and every 60 min thereafter until the first rescue analgesic. (scielo.br)
- The American College of Surgeons (ACS) Board of Governors Surgical Care Delivery Workgroup recently revised and updated the 2004 ACS Statement on Patient Safety Principles for Office-Based Surgery Utilizing Moderate Sedation/Analgesia, Deep Sedation/Analgesia, or General Anesthesia. (facs.org)
- To ensure patient safety, the ACS believes that surgical procedures using deep sedation/analgesia or general anesthesia should only be performed in accredited surgical centers. (facs.org)
- Physicians who perform office-based surgery utilizing moderate sedation/analgesia should have their facilities accredited by a national or state accrediting organization and be state-licensed. (facs.org)
- Procedural sedation and analgesia (PSA) is the administration of a short-acting sedative-hypnotic or dissociative agent, with or without an analgesic, for patients undergoing anxiety-provoking and/or painful procedures. (msdmanuals.com)
- If PSA provides inadequate sedation or analgesia, injectable anesthetic (peripheral nerve block or local infiltration) may be added. (msdmanuals.com)
Anesthesia23
- For patients who want a completely pain-free procedure, we offer Deep IV Sedation or General Anesthesia. (womenscenter.com)
- Aetna covers medically necessary general anesthesia or IV sedation for oromaxillofacial surgery (OMS) and dental-type services that are covered under the medical plan. (aetna.com)
- Aetna also covers general anesthesia or IV sedation in conjunction with dental or OMS services that are excluded under the medical plan when the criteria below are met. (aetna.com)
- This is the type of anesthesia most commonly associated with sedation dentistry. (webmd.com)
- However, only a small percentage of dentists who have completed the Commission on Dental Accreditation (CODA) program in deep sedation and general anesthesia can use these more complex techniques. (webmd.com)
- Some dentists use a dentist anesthesiologist , who is specially trained to give all levels of sedation and anesthesia to both children and adults. (webmd.com)
- There are two primary types of IV sedation: twilight sedation and general anesthesia. (centurydental.org)
- One of many widespread options is the final anesthesia used for deep sedation. (hacksdejuegos.com)
- The purpose of this study was to assess the effects of general anesthesia and a new deep sedation regimen, respectively, on cardiac function in mice as determined by CMR, and to compare them to results obtained in mildly sedated conscious mice by echocardiography. (biomedcentral.com)
- In mice with ischemic LV failure, ejection fraction measurements were comparable when performed during light sedation, deep sedation, and general anesthesia, respectively. (biomedcentral.com)
- Contrast-to-noise ratios were similar during deep sedation and during general anesthesia, indicating comparable image quality. (biomedcentral.com)
- In mice with normal cardiac function, CMR during deep sedation causes significantly less depression of heart rate and ejection fraction than imaging during general anesthesia with isoflurane. (biomedcentral.com)
- In mice with heart failure, the sedation/anesthesia regimen had no clear impact on cardiac function. (biomedcentral.com)
- Deep sedation and general anesthesia produced CMR with comparable image quality and quantitative accuracy. (biomedcentral.com)
- We report that deep sedation caused no statistically significant depression of heart rate in normal mice, compared to conscious sedation, produced significantly less depression of systolic function, and yielded comparable image quality, compared to general anesthesia with isoflurane. (biomedcentral.com)
- In this article, we will cover a number of topics, including the differences between general anesthesia and sedation, potential side effects of general anesthesia, associated risks, and some theories regarding how they work. (medicalnewstoday.com)
- The topic of whether or not to use sedation and/or anesthesia for diagnostic orthopedic radiographs recently came up on the RR-folk email discussion list. (rrcus.org)
- Use of anesthesia-assisted sedation (AA) for routine GI endoscopic procedures has recently skyrocketed. (gi.org)
- 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)
- Monitored anesthesia care (MAC) combines intravenous sedation with local anesthetic injection, infiltration including tumescent anesthesia, or nerve blocks. (medscape.com)
- When those fail, advanced behavior guidance can be employed 3-5 , typically involving protective stabilization (i.e. physical restraint), sedation and general anesthesia. (bvsalud.org)
- Among the variety of behavioral management techniques available, the most controversial are protective stabilization, sedation and general anesthesia, which should be recommended for the benefit of the child, considering the norms and values of a particular community 2 . (bvsalud.org)
- A hospital wants its L&D nurses to learn moderate sedation in the rare event that an emergency C-section is performed under local anesthesia. (medscape.com)
Types of sedation3
- What Types of Sedation Are Used in Dentistry? (webmd.com)
- When you visit a sedation dentist, he or she will discuss the various types of sedation available to you for pain and anxiety management. (harcourthealth.com)
- What are the Different Types of Sedation? (ndscare.com)
Associated with sedation dentistry1
- Oral sedation, or oral conscious sedation (OCS) - most often associated with sedation dentistry - produces moderate sedation via oral medication dispensed to the patient before the appointment to diminish awareness of pain, sounds and smells. (harcourthealth.com)
Nitrous oxide11
- Most dentists can administer minimal sedation (such as nitrous oxide or pills). (webmd.com)
- Additionally they apply acutely aware sedation by utilizing nitrous oxide or intravenous sedation. (hacksdejuegos.com)
- In addition, Nitrous Oxide Permit holders must also complete four (4) hours of continuing education in one or more of the following areas every two years: sedation, nitrous oxide, physical evaluation, medical emergencies, monitoring and the use of monitoring equipment, or pharmacology of drugs and agents used in sedation. (oregon.gov)
- Nitrous oxide is a form of conscious sedation, meaning you'll be awake during your treatment, though your senses will be dulled. (ndscare.com)
- Nitrous oxide and oral conscious sedation both have very good safety profiles. (ndscare.com)
- Nitrous oxide provides quick, safe sedation and pain relief. (cdhp.org)
- Nitrous oxide , commonly known as laughing gas, is a form of minimal sedation. (smilesdentaldesign.com)
- Nitrous oxide sedation is one of the most common methods of sedation for oral procedures. (smilesdentaldesign.com)
- Nitrous oxide sedation is one of the safest methods of controlling pain during oral procedures, and there are almost no side effects after treatment. (smilesdentaldesign.com)
- Sleepiness is a side effect of some medications, but nitrous oxide, oral conscious sedation and IV sedation only work to calm anxiety throughout the dental visit. (drmillerperio.com)
- The most popular types of dental sedatives are nitrous oxide, oral conscious sedation, and IV sedation. (drmillerperio.com)
Dentist26
- Your dentist can control the amount of sedation you receive, and the gas tends to wear off quickly. (webmd.com)
- Sedation is most appropriate for people with a real fear or anxiety that is preventing them from going to the dentist. (webmd.com)
- Sometimes, children are given sedation if they are terrified of going to the dentist or refuse to cooperate during the visit. (webmd.com)
- Can Any Dentist Perform Sedation? (webmd.com)
- New and safe sedation dentistry with La Jolla area sedation dentist Dr. Gary Sigafoos means you can have years of dental treatments done quickly while you're lightly sedated, with little or no discomfort. (powaysedationdentist.com)
- Your dentist will select the sedation dentistry option that is best for you based on the treatments performed, how long these procedures will take and your level of anxiety. (harcourthealth.com)
- Deep sedation is one way to help people manage their fear of a dentist. (centurydental.org)
- For deep sedation, your dentist will administer medications that can either make you partially or fully unconscious. (centurydental.org)
- Before undergoing any sedation, it's best to ask your dentist about it to arrive at an informed decision. (centurydental.org)
- Your dentist will be more than willing to answer your queries about deep sedation dentistry to put your mind at ease. (centurydental.org)
- If you're pregnant, your dentist will discuss the pros and cons of dental sedation for you and your unborn child. (centurydental.org)
- The first time I had an encounter with a sedation dentist was over 7 years ago. (ipl.org)
- My impression of this Sedation dentist made me understand the power of a good service. (ipl.org)
- This site, a prescription for valium (will explain at end) and a caring private dentist and IV sedation. (dentalfearcentral.org)
- If you choose oral sedation dentistry , your dentist will prescribe you an oral medication for reducing anxiety. (ndscare.com)
- Prophylaxis means to take an action to prevent disease and your dentist and dental hygienist does that every time you come in for a routine cleaning or deep cleaning. (doralsedationdentistry.com)
- If you're looking for a new dentist in the Miami area or just way overdue for an exam, contact Doral Sedation & Family Dentistry today to schedule an appointment. (doralsedationdentistry.com)
- Sedation therapies help patients relax while the dentist works in their mouths. (smilesdentaldesign.com)
- Sedation dentistry offers an excellent way to provide a safe, anxiety-free, dental experience to those who are afraid of the dentist. (drmillerperio.com)
- Safety and compliance are two important aspects of treatments, so sedation dentistry offers both the individual and the dentist the best alternative. (drmillerperio.com)
- If you are quite anxious about visiting the dentist, Steven D. Fraker, D.D.S offers pre-medication sedation to help you relax before you arrive for your appointment. (1stsedationdentist.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. (1stsedationdentist.com)
- The patient should tell the sedation dentist and he or she will provide them with even more oxygen to breathe. (1stsedationdentist.com)
- This same sensation may develop in the mouth - a benefit to the sedation dentist (and patient) during the dental care treatment. (1stsedationdentist.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. (1stsedationdentist.com)
- A successful sedation is based on a minimum of the child's ability to tolerate dental treatment and cooperate with the dentist. (bvsalud.org)
Moderate21
- This 6-hour course with a hands on component meets the educational requirements for maintaining a minimal, moderate, or deep sedation permit for the State of Nebraska. (unmc.edu)
- Moderate sedation (formerly called "conscious sedation") -- you may slur your words when speaking and not remember much of the procedure. (webmd.com)
- Depending on the total dose given, oral sedation can range from minimal to moderate. (webmd.com)
- A larger dose may be given to produce moderate sedation. (webmd.com)
- Some people become groggy enough from moderate oral sedation to actually fall asleep during the procedure. (webmd.com)
- An increasing number of dentists can give moderate sedation. (webmd.com)
- Levels of sedation range from mild, to moderate, to deep and are achieved through different types of sedatives. (harcourthealth.com)
- Moderate sedation is defined by a depressed level of consciousness, meaning you can breathe independently, retain your reflexes and respond to verbal/physical stimulation. (harcourthealth.com)
- Moderate sedation is a depression of consciousness in which the patient can respond to external stimuli (verbal or tactile). (medscape.com)
- Dissociation, which could be considered a type of moderate sedation, is seen when using medications in the phencyclidine group (eg, ketamine). (medscape.com)
- Often, sedation is mild to moderate and you're awake during the procedure and able to answer questions and respond to commands. (ndscare.com)
- The levels of sedation range from minimal, moderate, and deep to general. (smilesdentaldesign.com)
- Moderate sedation causes the patient to be awake, but their awareness is skewed. (smilesdentaldesign.com)
- This method works well for those who want minimal to moderate sedation while avoiding needles. (smilesdentaldesign.com)
- Different levels of sedation (mild, moderate and deep) can be utilized depending on individual needs. (drmillerperio.com)
- Oral medication is provided prior to treatment in order to induce a moderate state of sedation. (drmillerperio.com)
- or intra-venous sedation, for patients requiring moderate sedation and general anaesthesia for patients requiring deep sedation. (whatclinic.com)
- Moderate sedation has limits in managing children's behavior. (bvsalud.org)
- The poor facet related to limitations of moderate sedation (when child kept struggling) and their own anxiety during the procedure. (bvsalud.org)
- Moderate (conscious) sedation for outpatient procedures can be controversial in pediatric dentistry because its efficacy, effectiveness and safety depend on several factors. (bvsalud.org)
- Should Labor and Delivery Nurses Perform Moderate Sedation? (medscape.com)
Dentists10
- For people who avoid dentists like the plague , sedation dentistry may take away some of their anxiety . (webmd.com)
- A smaller percentage of pediatric dentists are trained to give children oral sedation. (webmd.com)
- Sedation dentists , sometimes called sleep dentists, also recommend sedation for patients with a severe gag reflex . (harcourthealth.com)
- On this gentle sedation, the sufferers will be capable to reply to the directions of the dentists. (hacksdejuegos.com)
- The information that has flooded my space since I asked for details of good sedation dentists near me has been inundating. (ipl.org)
- In his recount of the incident, he said there are dentists that use sedation but do not match it with personal care for their patients. (ipl.org)
- Our general dentists and specialists are licensed and trained in providing in-office sedation. (ndscare.com)
- There are different levels of sedation that dentists can use to manage pain during procedures. (smilesdentaldesign.com)
- Oral sedation is another approach that dentists use to manage pain during oral procedures. (smilesdentaldesign.com)
- Compare all the dentists and contact the sedation for dental treatments clinic in Saskatchewan that's right for you. (whatclinic.com)
Conscious7
- Published literature has not discerned end-of-life palliative versus life-shortening effects of pharmacologically maintaining continuous deep sedation until death (i.e., dying in deep sleep) compared with common sedation practices relieving distress in the final conscious phase of dying. (noeuthanasia.org.au)
- With twilight sedation, you'll be sleepy yet still conscious of your surroundings. (centurydental.org)
- Oral conscious sedation is an excellent choice for people who fear needles. (drmillerperio.com)
- What types of drugs are used in oral conscious sedation? (drmillerperio.com)
- 0.05 vs. conscious sedation). (biomedcentral.com)
- Preparation includes conscious or deep sedation. (medscape.com)
- This is a major advantage, and a safety feature, of conscious sedation using laughing gas. (1stsedationdentist.com)
Propofol5
- Differential effects of deep sedation with propofol on the specific and nonspecific thalamocortical systems: a functional magnetic resonance imaging study. (mcw.edu)
- During deep sedation, propofol reduced functional connectivity by 43% (specific) and 79% (nonspecific), a significantly greater reduction in the nonspecific than in the specific system and in the left hemisphere than in the right. (mcw.edu)
- Aim: To demonstrate that deep sedation with propofol for ERG can be performed efficiently and safely in children in near-total darkness. (elsevierpure.com)
- An anesthesiologist then administers propofol sedation in the dark with the aid of a red-filter light source and monitor light shields. (elsevierpure.com)
- The incidence of minor complications is low and appears similar to other studies of propofol sedation. (elsevierpure.com)
Sedatives2
- Sedation dentistry is popular because most sedatives can be taken by mouth, meaning no injections, no anxiety and no pain. (drmillerperio.com)
- One potential contributor to this increased use is clinical uncertainly regarding which patients may be at high-risk of failed sedation with standard sedatives. (gi.org)
Procedural Sedation1
- Impact of Procedural Sedation on the Clinical Outcome of Microelectrode Recording Guided Deep Brain Stimulation in Patients with Parkinson's Disease. (iasp-pain.org)
Continuous deep12
- In 2016, a law came into force in France granting terminally ill patients the right to continuous deep sedation (CDS) until death. (bmj.com)
- In February 2016, a law was adopted in France granting terminally ill patients who refuse life-sustaining treatment (LST) the right to continuous deep sedation (CDS). (bmj.com)
- The key fact which should alert people to something odd going on is the reference to 'continuous deep sedation' in the Netherlands which appears in the article's abstract but tellingly (and perhaps even disingenuously) not in the Lancet press release. (noeuthanasia.org.au)
- But what was the rate of 'continuous deep sedation until death' in 2001 and previously? (noeuthanasia.org.au)
- In other words it is not at all clear how many of these two categories of 'continuous deep sedation' and 'intensified alleviation of symptoms' involved the explicit intention to end life. (noeuthanasia.org.au)
- The practice of 'continuous deep sedation' has been questioned before. (noeuthanasia.org.au)
- Continuous deep sedation predictably suppresses brainstem vital centers and shortens life. (noeuthanasia.org.au)
- This session will examine some key ethical questions that arise from the use of palliative sedation therapy in terminally ill patients, with a particular focus on continuous deep sedation. (upmc.com)
- Explore the nature of continuous deep sedation and how it is related both to palliative sedation therapy more generally and to euthanasia. (upmc.com)
- Examine the main ethical problems that have traditionally arisen for continuous deep sedation. (upmc.com)
- Discuss and consider the proposal that continuous deep sedation be treated as a "third way" of intervening at the end of life, distinct from both ordinary palliative care and euthanasia. (upmc.com)
- Discuss how this revised account of continuous deep sedation affects the ethics of the practice. (upmc.com)
Procedure8
- We offer regular sedation to patients who do not want to remember very much about the procedure, or who can tolerate a small amount of discomfort. (womenscenter.com)
- This is the only form of sedation where you may be able to drive yourself home after the procedure. (webmd.com)
- Patients who have previously experienced IV sedation often report feeling like they slept through the entire procedure. (drmillerperio.com)
- As this procedure must be performed in darkness, administering sedation imposes unique challenges. (elsevierpure.com)
- Individuals trained in Advanced Cardiovascular Life Support, intravenous access, management of airway complications, and the use of pharmacologic antagonists must be present when a surgical procedure using sedation is being performed. (facs.org)
- Patients need to know that the primary purpose of sedation during routine endoscopic procedures is patient comfort, and it is perfectly reasonable to be awake for a portion or all of the procedure as long as they are comfortable. (gi.org)
- When standard sedation medications are used, it is very rare for patients to experience discomfort leading to an inability to complete the procedure. (gi.org)
- Talking to your gastroenterologist before your procedure about what to expect is important, as all forms of sedation (including deep sedation) carry risks. (gi.org)
Area and offering1
- Serving the Bloomington, IN area and offering sedation dentistry, Dr. Eades can help you develop an affordable treatment plan you'll feel good about. (1stsedationdentist.com)
Sedative3
- Palliative sedation is the use of sedative medications to relieve refractory symptoms when all other interventions have failed. (wikipedia.org)
- The sedative methods used for sedation dentistry vary in strength and purpose. (harcourthealth.com)
- Intra-venous sedation and general anaesthesia need to be injected and patients may feel pain when the sedative is injected. (whatclinic.com)
Obstructive sleep2
- Deep sedation and different such obstructive sleep apnea san jose dental care is not only about taking care of the affected tooth. (hacksdejuegos.com)
- Not only did we find a very low rate of failed sedation, even among the highest-risk patients, we also found no association between failed sedation and BMI, obstructive sleep apnea, functional GI disorders, and other factors that are commonly cited in triaging patients to AA. (gi.org)
Anxiety4
- We find that the majority of patients who experience only minimal fear and anxiety do very well with our regular IV sedation. (womenscenter.com)
- Anxiolysis is defined by minimal or mild sedation and is associated with relieving anxiety. (harcourthealth.com)
- People who will undergo wisdom tooth removal and other dental procedures or have dental anxiety will benefit from dental sedation. (centurydental.org)
- Thankfully, sedation dentistry is a solution that can help alleviate anxiety and make dental procedures more relaxing and comfortable. (ndscare.com)
Light sedation1
- METHODS: Eight healthy volunteers were instructed to listen to and encode 40 English words during wakeful baseline, light sedation, deep sedation, and recovery in the scanner. (mcw.edu)
Given sedation1
- You may be given sedation so you are relaxed and asleep, as well as an anesthetic so you are pain-free. (medlineplus.gov)
Terminal sedation11
- France is in danger of buying a deadly illusion: that terminal sedation is neither assisted suicide nor euthanasia. (noeuthanasia.org.au)
- From the minute the Assemblée Nationale should pass any such legislation, terminal sedation will become the lie to hide the practice of euthanasia throughout France too. (noeuthanasia.org.au)
- On Tuesday March 17, 2015 the French parliament overwhelmingly voted to give people the right to demand terminal sedation - that is, for them to be made unconscious in their last hours and days. (noeuthanasia.org.au)
- We have been warning about the steep rise in the use of terminal sedation in the Netherlands , as a form of 'back-door' euthanasia. (noeuthanasia.org.au)
- Those who die through terminal sedation are not generally counted either, but the rise in their numbers is frightening. (noeuthanasia.org.au)
- Today palliative care specialists, and advances in their field, mean that fewer than 2% of patients are faced with terminal sedation as their only option. (noeuthanasia.org.au)
- Of course every individual deserves our best response, but if their numbers are falling why then should terminal sedation be on the rise at all? (noeuthanasia.org.au)
- To create a specious 'right' to die by terminal sedation as the French propose, is yet another hoodwink - it allows a larger public to believe this is all being done so maturely, with such compassion, and somehow manages to avoid all the thorny questions about assisted suicide and euthanasia. (noeuthanasia.org.au)
- The Claeys-Leonetti proposal that calls for terminal sedation on demand has garnered cross-party support, something the beleaguered leader needs after other failures have seen his popularity drop below that of any previous incumbent of the highest office in France. (noeuthanasia.org.au)
- The phrase "terminal sedation" was initially used to describe the practice of sedation at end of life, but was changed due to ambiguity as to what the word 'terminal' meant. (wikipedia.org)
- Palliative sedation can be used for short periods with the plan to awaken the person after a given time period, making terminal sedation a less correct term. (wikipedia.org)
Medications3
- The medications used during sedation typically have additional beneficial effects, as important as sedation. (medscape.com)
- In general, these medications are usually given intravenously when used for procedures in the emergency department (ED), with some exceptions for children (for more information, see Pediatrics, Sedation). (medscape.com)
- Sedation dentistry is performed for dental procedures for anxious patients by administering medications to help them relax. (whatclinic.com)
Anxiolysis2
- Minimal sedation is equivalent to anxiolysis, that is, a drug-induced relief of apprehension with minimal effect on sensorium. (medscape.com)
- This results in chloride influx, hyperpolarization, and decreased ability of the neuron to reach an action potential, producing sedation and anxiolysis. (medscape.com)
Inhalation1
- Oral sedation, inhalation sedation, TENS and topical sedation are not painful. (whatclinic.com)
Pediatric2
- Conclusions: We demonstrated that pediatric sedation is a safe, efficient, and a cost-effective method for measuring ERGs in a challenging environment. (elsevierpure.com)
- Two general themes were addressed: "good facet" and "poor facet" of pediatric dental sedation. (bvsalud.org)
Practice2
- The practice of palliative sedation has been a topic of debate and controversy as many view it as a form of slow euthanasia or mercy killing, associated with many ethical questions. (wikipedia.org)
- When you visit our practice for sedation dentistry in Naperville, we'll perform a comprehensive exam and take a detailed health and medication history to ensure you're a good candidate and there are no contraindications. (ndscare.com)
Typically1
- Oral sedation is typically given for minor procedures such as root canal treatment or a tooth filling. (centurydental.org)
Palliative care1
- The term "palliative sedation" was then used to emphasize palliative care. (wikipedia.org)
Anesthetic1
- These drugs are used in much lower doses for minimal sedation than when they are used alone or in combination for anesthetic induction. (rrcus.org)
Euthanasia1
- It is not considered a form of euthanasia or physician-assisted suicide, as the goal of palliative sedation is to control symptoms, rather than to shorten or end the person's life. (wikipedia.org)
General2
- IV sedation is NOT the same as a GA (general anaesthetic) and you are NOT knocked out. (dentalfearcentral.org)
- General sedation is rarely used and is mostly reserved for young children or those who cannot cooperate. (smilesdentaldesign.com)
Administer1
- Only qualified professionals are allowed to administer IV sedation. (centurydental.org)
Appointment2
- Make a sedation dentistry consultation appointment today with Dr. Sigafoos. (powaysedationdentist.com)
- They promote calmness and sedation when taken before an appointment. (cdhp.org)
Medically1
- It is therefore important to emphasize that deep and continuous palliative sedation is considered medically correct action only if its application is justified by the need to relieve the incurably ill person from the grievous pain and sufferings caused by the disease, not to cause death, and only when in certain clinical circumstances, it cannot be achieved by other means and methods. (shs-conferences.org)
Patients relax2
- Sedation dentistry uses medication to help patients relax during dental procedures. (webmd.com)
- Sedation dentistry helps patients relax and feel at ease, so they can get dental care in a way that's stress-free and painless. (ndscare.com)
Methods2
- With the various sedation techniques and methods available, you can get the treatment you need without experiencing unnecessary pain or discomfort. (smilesdentaldesign.com)
- Palliative sedation therapy is undertaken when other methods of relieving patient suffering at the end of life have failed. (upmc.com)
Dentist's2
Awake1
- Minimal sedation -- you are awake but relaxed. (webmd.com)
Clinicians1
- Nonetheless, clinicians may underuse sedation, usually from a lack of experience or from unchallenged myths regarding its use. (medscape.com)
Midazolam1
- In the CMR studies of normal mice, heart rate was slightly lower during deep sedation with morphine/midazolam (583 ± 30 min -1 ), but the difference was not statistically significant. (biomedcentral.com)
Medication2
- Medication- if the patient has deep gum pockets that may be prone to infection, following the cleaning stages, an antibiotic cream can be used to promote healing and prevent infection. (doralsedationdentistry.com)
- Once you've arrived at our Upland 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. (1stsedationdentist.com)
Elective1
- Outpatients aged 18-65 with ASA class I or II who were to undergo elective colonoscopy with deep sedation were offered participation. (nih.gov)
Hypoxia1
- The goal of PSA is to provide needed sedation and pain relief while minimizing respiratory depression, hypoxia, and hypotension. (msdmanuals.com)
Capnography1
- A trained observer (who may also be the person giving the PSA drugs) is required to monitor the patient (sedation level, airway, ventilation, vital signs, pulse oximetry and/or capnography) throughout the sedation and recovery periods. (msdmanuals.com)
Discharge criteria1
- The patient must be monitored during recovery from sedation and discharge criteria met before leaving the facility. (facs.org)
Distress2
- Sedation is given to ensure comfort and to minimize distress, but is linked to delirium and immobility. (nih.gov)
- Palliative sedation is often the last resort if the person is resistant to other managing therapies or if the therapies fail to provide sufficient relief for their refractory symptoms, including pain, delirium, dyspnea, and severe psychological distress. (wikipedia.org)
Teeth2
- Also, when teeth begin to shift, the gum pockets become deeper, which can eventually lead to bacteria entering the bloodstream. (doralsedationdentistry.com)
- Sedation dentistry is performed to ensure that nervous patients enjoy healthy mouths and teeth. (whatclinic.com)
Permit2
- In order to renew a Minimal Sedation Permit, the permit holder must provide documentation of a current BLS for Healthcare Providers certificate or its equivalent. (oregon.gov)
- In addition, Minimal Sedation Permit holders must also complete four (4) hours of continuing education in one or more of the following areas every two years: sedation, physical evaluation, medical emergencies, monitoring and the use of monitoring equipment, or pharmacology of drugs and agents used in sedation. (oregon.gov)
Gentle1
- Deep sedation causes the patient to be mostly asleep, but they can be easily brought back to full consciousness with gentle direction. (smilesdentaldesign.com)
Surgical1
- Our regular IV Sedation is included in the surgical abortion fee. (womenscenter.com)