{"id":239,"date":"2019-11-21T17:11:28","date_gmt":"2019-11-21T17:11:28","guid":{"rendered":"https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/?p=239"},"modified":"2019-11-21T17:11:28","modified_gmt":"2019-11-21T17:11:28","slug":"what-is-conscious-sedation","status":"publish","type":"post","link":"https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/what-is-conscious-sedation\/","title":{"rendered":"What is Conscious Sedation?"},"content":{"rendered":"\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/11\/iStock-147300708-1024x683.jpg\" alt=\"\" class=\"wp-image-241\" srcset=\"https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/11\/iStock-147300708-1024x683.jpg 1024w, https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/11\/iStock-147300708-300x200.jpg 300w, https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/11\/iStock-147300708-768x512.jpg 768w, https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/11\/iStock-147300708-1536x1024.jpg 1536w, https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/11\/iStock-147300708-2048x1365.jpg 2048w, https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/11\/iStock-147300708-800x533.jpg 800w, https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/11\/iStock-147300708-1200x800.jpg 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">To sedate or not to sedate, that is the question.\u00a0 Dental sedation has been brought to light by the media in the past few years and the light has not been very complementary.\u00a0 Sedation is when medications are administered to create a relaxed or peaceful state.\u00a0 It is a spectrum, and depending on the patient\u2019s needs, the provider will decide what level of sedation is necessary to accomplish the desired goal.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"958\" height=\"140\" src=\"https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/11\/Sedation-spectrum.jpg\" alt=\"\" class=\"wp-image-240\" srcset=\"https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/11\/Sedation-spectrum.jpg 958w, https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/11\/Sedation-spectrum-300x44.jpg 300w, https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/11\/Sedation-spectrum-768x112.jpg 768w, https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/11\/Sedation-spectrum-800x117.jpg 800w\" sizes=\"auto, (max-width: 958px) 100vw, 958px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Dental sedation can be used for adults, but I will be focusing on sedation for children since that is my area of expertise.\u00a0 When I was in residency, in our first sedation class my professor said, \u201cChildren are not little adults!\u00a0 Do not sedate them like they are an adult.\u201d\u00a0 At the time, I did not know what he meant.\u00a0 When working with adults, there is more standardization as far as prescribing medications.\u00a0 With a child, typically, prescribing should be based off his weight and not his age or maximum dosage.\u00a0 Young children do not have mature respiratory systems, do not have a large oxygen reserve, and can become overly sedated quickly.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There are hundreds of medications that can be used to sedate children and as some would say, \u201cmany ways to skin a cat.\u201d\u00a0 I will not discuss specific medications, but each provider has their \u201cgo to\u201d medications that they use depending on the situation and the desired goal.\u00a0 When the term \u201cconscious sedation\u201d is used, I am referring to minimal sedation.\u00a0 My goal for a child is that he be awake but relaxed for the procedure.\u00a0 The child should be able to follow my instructions and have all his normal reflexes intact. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Conscious sedation is safe when practicing within the\nguidelines set forth by the American Academy of Pediatric Dentistry.&nbsp; This is not to say that there should not be some\nlevel of healthy fear anytime medications are introduced.&nbsp; As I stated before, sedation is a spectrum\nand a child can easily slip further down the sedation spectrum than may be\nintended.&nbsp; Whenever a child is sedated,\nit is important to keep in mind where the child is on the spectrum, and as a provider,\n\u201cAm I comfortable with how this child is responding?\u201d&nbsp; If not, what is the causing the problem and\nhow do I fix it quickly.&nbsp; <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When I was in dental school, I had several patients that were terrified of the dentist.\u00a0 Many of these patients had a bad experience as a child and have carried these fears into adulthood.\u00a0 Sedation was not a common practice even twenty years ago.\u00a0 At that time, it was not uncommon to use restraints or behavioral techniques that are not as acceptable at this day in time.\u00a0 Children are impressionable creatures and do remember bad experiences that may affect them for the rest of their life.\u00a0 This is one of the reasons why I decided to go into pediatric dentistry.\u00a0 If I can give a child a good dental experience, then that child will carry this mindset to adulthood and is more likely to seek dental care on a routine basis instead of waiting for an emergency to arise.\u00a0  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I am not going to lie, sedation appointments are not my favorite, but if it will give a child a good experience, I will do it. \u00a0During residency, I completed over double the amount of sedation cases required and feel comfortable with the medications I prescribe.\u00a0 I maintain my Pediatric Advanced Life Support certificate.\u00a0 All my staff is certified in Basic Life Support.\u00a0 I complete an inventory of our crash cart monthly to make sure I have everything I need on the off chance I run into a situation where I may need to rescue a child.\u00a0 We have staff meetings weekly where we discuss various office emergencies, and how we will handle them. \u00a0I hope to always maintain a healthy fear that I may need to use my advanced training.\u00a0 Sedating a child is never something to be taken lightly, but it can be a useful tool in creating an enjoyable dental experience for some children.  <\/p>\n","protected":false},"excerpt":{"rendered":"<p>To sedate or not to sedate, that is the question.\u00a0 Dental sedation has been brought to light by the media in the past few years and the light has not been very complementary.\u00a0 Sedation is when medications are administered to&#8230;<\/p>\n<p><a class=\"more-link\" href=\"https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/what-is-conscious-sedation\/\">Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[4],"tags":[],"class_list":["post-239","post","type-post","status-publish","format-standard","category-childrens-oral-health","entry","has-post-thumbnail"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - 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