Dentist The Menace
Exposing The Underbelly of Medicaid Dentistry While Keeping Their Feet To The Fire

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.

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