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Article: Volume 44 Number 11 Page 1034 - December 2017

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  Dent Update 2017; 44: 1034-1040

Conscious Sedation:  Complications of Conscious Sedation: Causes and Management

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Abstract: Conscious sedation is a common treatment modality for patients with dental anxiety. In adults, intravenous sedation using Midazolam is the most common method of conscious sedation. For inhalational sedation, Nitrous Oxide and Oxygen are used frequently. Clinicians should be aware of the potential complications associated with delivery of intravenous sedation which can occur pre-, peri- and post-sedation. An awareness of the pharmacology of the drugs as well as careful patient assessment and monitoring can help clinicians to anticipate and reduce complications. This article will review the most common complications and describe prevention and management of each.

Clinical relevance: With increasing dental anxiety amongst the population, there may be further potential demand for treatment provision for patients using conscious sedation. This article summarizes management of complications for general dental practitioners to be mindful of, which can occur pre-sedation, during sedation and post-sedation.

Author notes: Tina Halai, BDS, MJDF RCS(Eng), Specialty Registrar in Oral Surgery, Eastman Dental Hospital, Ambareen Naqvi, BDS(Hons), MJDF RCS(Eng), Specialty Dentist in Oral Surgery, Eastman Dental Hospital, Clare Steel, BDS, MFDS RCS(Edin), Specialty Registrar in Oral Surgery, Eastman Dental Hospital and Sonita Koshal, BDS(Hons), MFDS RCS Eng, MSurgDent, RCSEng FHEA, Consultant in Oral Surgery, Eastman Dental Hospital, 256 Gray’s Inn Road, London WC1X 8LD.

Objective: To understand the management, and give examples, of conscious sedation.