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INDEX
\u2022Introduction
\u2022Historical development of conscious
sedation

\u2022Objectives of conscious sedation
\u2022Philosophy of conscious sedation
\u2022Indication of conscious sedation
\u2022Contraindication of conscious sedation

\u2022
Pharmacology of sedative agents
\u2022Routes of drug administration
\u2022Initial assessment & treatment
planning

\u2022Equipment for conscious sedation
\u2022Complication
\u2022Sedation in special circumstances

AMERICAN DENTAL SOCIETY OF
ANAESTHESIOLOGY defined conscious sedation

as \u201cthe production of a state of pleasant relaxation
& freedom from fear & anxiety in the conscious
patient through the use of drugs. \u201c

The house of delegates ofAMERICAN
DENTAL ASSOCIATION (ADA)defines

conscious sedation as \u201ca minimally depressed level
of consciousness that retains the patient\u2019s ability
to independently & continuously maintain an airway
& responds appropriately to physical stimulation or
verbal command & that is produced by a
pharmacological or non-pharmacological method or
a combination thereof\u201d.

\u2022The drugs & techniques that are acceptable

for producing conscious sedation should have a
reasonably large therapeutic index, making it
unlikely that the patient will loose
consciousness.

\u2022Depressing the level of consciousness to the

patient at which the patient\u2019s only response is a reflex withdrawal from painful stimulation is well outside of the range of conscious sedation & is to be avoided.

\u2022Conscious sedation is not to be used as a way

to reduce pain during dental treatment! Local
anesthesia is still required as the principle
means for elimination the sedation of orofacial
pain during treatment.

\u2022However, conscious sedation may make the
process of local anesthetic administration
much more acceptable to the patient.
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