Estimating the need for dental sedation. 1. The Indicator of Sedation Need (IOSN) - a novel assessment tool.
Summary of "Estimating the need for dental sedation. 1. The Indicator of Sedation Need (IOSN) - a novel assessment tool."
While the control of pain and anxiety is fundamental to the practice of dentistry, the use of conscious sedation in dentistry is very variable among dentists. The need for conscious sedation could be considered by assessing and ranking a combination of information on patient anxiety, medical history and the complexity of the anticipated clinical treatment. By undertaking this systemtic assessment an indication of sedation need may be developed which would act as an aide to decision making and, potentially, referral management. Such a tool could also be used by commissioners who need to identify patients who need conscious sedation for dental treatment in order to plan, commission and deliver appropriate sedation services.
Affiliation
Professor of Oral and Maxillofacial Surgery & Immediate Past Chairman, Dental Sedation Teachers Group, School of Dentistry, The University of Manchester, Higher Cambridge Street, Manchester, M15 6FH.
Journal Details
This article was published in the following journal.
Name: British dental journal
ISSN: 1476-5373
Pages: E10
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/21904334
- DOI: http://dx.doi.org/10.1038/sj.bdj.2011.725
Medical and Biotech [MESH] Definitions
Promethazine
A phenothiazine derivative with histamine H1-blocking, antimuscarinic, and sedative properties. It is used as an antiallergic, in pruritus, for motion sickness and sedation, and also in animals.
Chlorpheniramine
A histamine H1 antagonist used in allergic reactions, hay fever, rhinitis, urticaria, and asthma. It has also been used in veterinary applications. One of the most widely used of the classical antihistaminics, it generally causes less drowsiness and sedation than PROMETHAZINE.
Deep Sedation
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)
Conscious Sedation
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)
Pentobarbital
A short-acting barbiturate that is effective as a sedative and hypnotic (but not as an anti-anxiety) agent and is usually given orally. It is prescribed more frequently for sleep induction than for sedation but, like similar agents, may lose its effectiveness by the second week of continued administration. (From AMA Drug Evaluations Annual, 1994, p236)
PubMed Articles
While the control of pain and anxiety is fundamental to the practice of dentistry, the use of conscious sedation in dentistry is very variable among dentists. The need for conscious sedation could be...
Summary of: Estimating the need for dental sedation. 4. Using IOSN as a referral tool.
Objective In this article we report on the use of the IOSN as a referral tool in primary care and the need for sedation in the referred patient population (as determined by the IOSN score).Setting Fou...
Aim The aim of this study was, through a service evaluation, to assess the use of the IOSN tool in determining whether threshold values were appropriate for identification of IV sedation and general a...
Estimating the need for dental sedation. 4. Using IOSN as a referral tool.
Objective In this article we report on the use of the IOSN as a referral tool in primary care and the need for sedation in the referred patient population (as determined by the IOSN score).Setting Fou...
Aim This service evaluation assessed the need for sedation in a population of dental attenders (n = 607) in the North West of England.Methods Using the novel IOSN tool, three clinical domains of sedat...
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