What is inhaled conscious sedation and what it is used for
Inhalational conscious sedation is a technique that involves administration of a mixture of oxygen and nitrous oxide through a nasal mask. It induces a state of relaxation and well-being, keeping the patient awake and cooperative. It is particularly useful in reducing anxiety and fear of the dentist, making treatment more peaceful and accessible, especially for children and anxious patients.
What is
A technique to decrease anxiety and fear during treatment.
Types
Conscious sedation with nitrous oxide and oxygen.
Intravenous conscious sedation.
What is it for
Through anxiolysis (medication administration) creates a state of well-being.
It allows the surgery time to be approached in a relaxed manner.
Who needs
Phobic, adult, child, handicapped and at-risk patients
How inhalation sedation works and what are the benefits
Inhalation sedation acts within minutes and is adjusted in real time based on the patient's response. Throughout treatment, a safe and controlled mixture is breathed in that reduces anxiety, pain sensitivity, and vomiting reflex. The patient remains conscious and calm, with no major side effects. At the end of the session, the effect wears off quickly, allowing an immediate return to normal activities.
To whom is inhalation conscious sedation indicated?
Inhalation sedation is indicatedfor patients of all ages, particularly for children, people who are anxious, phobic, or have a heightened gag reflex. It is ideal for approaching dental care serenely, even in patients with disabilities or motor difficulties. It is often used during oral hygiene treatments, fillings or minor surgical procedures, making the chairside experience more comfortable and stress-free.
Inhalational sedation: a safe and controlled procedure
Inhalation sedation is anextremely safe technique that has been used for years in dental and pediatric settings. Administration is constantly monitored by the dentist, who adjusts the gas concentration according to the patient's needs. It does not require anesthesiologists, leaves no residual effects and allows for immediate recovery. It is well tolerated, noninvasive, and suitable for even the most sensitive patients.
The stages of the pathway
Cognitive interview with the sedation dentist (anesthesiological examination)
During the interview, it is pointed out what the general health status is, whether there are any medical conditions, and whether any medications are taken continuously. Blood pressure, oxygen saturation, and heart rates are measured. This is done to get a general picture right away and to determine whether the person is fit for surgery with the utmost safety.
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After conscious sedation
In sedation with Nitrogen Protoxide and Oxygen, the sedative action acts very quickly and at the end of the treatment the person is perfectly lucid without feeling any effect. In intravenous sedation, the person will have to remain under observation in the office for about half an hour. He or she will then have to be accompanied home by a family member or friend and, preferably, assisted.
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Pre-intervention indication
At home it is necessary to take the medications prescribed during the cognitive interview and follow all directions given. On the day of surgery, it is good practice to wear comfortable clothes, remove jewelry and nail polish (can prevent a good oxygen saturation reading). A light breakfast is recommended, drink only water and avoid alcohol.
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Clinical cases
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