Conscious Sedation: What Patients Should Expect
What is Conscious Sedation?
Conscious sedation induces an altered state of consciousness that
dulls any sensation of pain or and discomfort and may also cause the
patient to forget the treatment. If a patient anticipates that a dental
procedure would otherwise be painful or stressful, conscious sedation is
an excellent option.
Conscious sedation
differs from the general anesthesia that needs to be administered in a
hospital or similar setting. Conscious sedation can safely be administered
on an outpatient basis, with basic training that is available to dentists,
and some extra monitoring equipment. What makes conscious sedation safer
than general anesthesia is that protective reflexes (such as coughing to
clear the airway, for example) are completely functional and vital
functions do not have to be supported artificially. The patient, however,
is so sleepy and relaxed that he or she will probably be indifferent to
the dental treatment. The memory of treatment may be spotty. Patients who
receive conscious sedation usually are able to speak and respond to verbal
cues throughout the procedure, communicating any discomfort they
experience to the provider.
When is Conscious Sedation Administered?
Conscious sedation is frequently administered for oral surgery procedures,
including the extraction of impacted wisdom teeth. Conscious sedation can
also be used when there is extensive dental restorative work to be
performed. Conscious sedation will help the patient tolerate a lengthy,
possibly all-day or half-day appointment that he or she would otherwise
have difficulty tolerating.
Conscious
sedation is also administered for anxious patients who have difficulty
tolerating any type of dental care.
Who Should Monitor Conscious Sedation?
Because it is possible for patients to slip into unresponsiveness, proper monitoring of
conscious sedation is necessary. Healthcare providers monitor patient
heart rate, blood pressure, breathing, oxygen level and alertness
throughout and after the procedure. The provider who monitors the patient
receiving conscious sedation remains with the patient at all times during the
procedure.
What are the Side Effects of Conscious Sedation?
A period of amnesia during and after the procedure may follow the
administration of conscious sedation. Occasional side effects may include
headache, hangover, nausea and vomiting or unpleasant memories of the
surgical experience.
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