Dentist The Menace
Exposing The Underbelly
of Medicaid Dentistry While Keeping Their Feet To The Fire
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On December 4, 2006 the AAPD issued guidelines for
Monitoring and Management of Pediatric Patients During and After
Sedation. In these guideline were:
- no administration of sedating medications without the
safety net of medical supervision;
- careful pre-sedation evaluation for underlying
conditions;
- ensure appropriate fasting and the appropriate fasting
for elective procedures;
- a focused airway examination for large tonsils or
abnormalities;
- a clear understanding of the medications and an
appreciation of drug interactions;
- training and skills in airway management to allow rescue
of the patient;
- appropriate size equipment for airway management and
venous access;
- appropriate medications and reversal agents;
- physiologic monitoring of the patient;
- sufficient numbers of people to carry out the procedure
and monitor the patient;
- a properly equipped and staffed recovery area
- patient to be at a level of pre-sedation state before
discharge
1)American Academy of Pediatrics, American Academy of
Pediatric Dentistry, Charles J. Coté, Stephen Wilson the Work
Group on Sedation
Guidelines for Monitoring and Management of Pediatric
Patients During and After Sedation for Diagnostic and
Therapeutic Procedures: An Update
Pediatrics 2006 118: 2587-2602. |