CONSCIOUS SEDATION

Service Description

Intravenous conscious sedation and nitrous oxide sedation is performed by our specialist anesthesiologist. Conscious sedation is an anesthetic technique in which patients are given a combination of one or more medications that cause mild depression of the central nervous system. The patient does not completely lose consciousness and maintains verbal contact. The patient enters a state of relaxation, well-being and slight drowsiness that allows him to tolerate the treatment he is undergoing. Conscious sedation reinforces the analgesic control that the doctor performs with the infiltration of local anesthetics into the oral cavity. by Dr. Mayra Vaca - Biologic Anesthesiologist Sedation levels The American Dental Association (ADA, 2012) defines through guidelines the levels of sedation that can be used in dental procedures: Minimal sedation. Minimal pharmacological depression of the level of consciousness, without cardiovascular effects, which allows the patient to maintain normal responsiveness to verbal and tactile (non-painful) stimuli. The drugs used must have a sufficient safety margin so as not to induce an unintended loss of consciousness. Moderate sedation. Pharmacological depression of the level of consciousness during which the patient responds appropriately to verbal stimuli, sometimes accompanied by light tactile stimuli. The patient maintains spontaneous breathing and there are no cardiovascular changes. The drugs used must have a sufficient safety margin so as not to induce an unintended loss of consciousness. Deep sedation. Pharmacological depression of the level of consciousness during which the patient only responds adequately to physical stimuli, even painful. There may be an alteration in the ability to maintain respiratory function, although cardiovascular function normally remains unchanged. General anesthesia. Pharmacological loss of consciousness during which the patient does not react even to painful stimuli. Airway protection and ventilator or manual ventilation are frequently required. Cardiovascular function may also be impaired.