NICOLA ROGERS is a Dental Nurse Tutor for Pre and Post Registration Qualification Training at Bristol Dental Hospital in Bristol, UK. She is a GDC Registered Dental Nurse; has a NEBDN National Certificate in Dental Nursing, Certificate in Dental Sedation Nursing, Oral Health and Dental Radiography; Tutor of the Year 2010 (DDU Educational Awards); and Co-Author of Basic Guide to Maxillofacial Surgery and Post Registration Qualifications Questions and Answers.

• How to Use This Book ixAcknowledgements xi1 Introduction 1Definition of conscious sedation 2Why dental sedation is provided 22 Medico]legal aspects of dental sedation 7Introduction 7Recommendations currently in place when providing dental sedation 7Medico]legal considerations when providing dental sedation 143 Role of the dental nurse and equipment 23Introduction 23eneral role of the dental nurse 24Intravenous sedation 25Inhalation sedation 43Oral sedation and pre]medication 46Transmucosal (off]licence) sedation 48Clinical monitoring and equipment used 494 Patient selection 65Introduction 65The assessment appointment 65Medical history 66Physical examination 67Dental history 69Social history 69Conclusion 705 Types of sedation 71Introduction 71Pharmacology 72Intravenous sedation 72Transmucosal (off]licence) sedation 84Inhalation sedation 86Oral sedation and pre]medication 1116 Medical emergencies 117Introduction 117Minimising the likelihood of medical emergencies 118Legal aspects of medical emergencies 119Dealing with medical emergencies 119Common medical emergencies 125Airway control and ventilation 1447 Essential anatomy 157Introduction 157Blood 157Heart 160Respiratory system 163Dorsum of the hand and antecubital fossa 172References 175Index 177

NICOLA ROGERS is a Dental Nurse Tutor for Pre and Post Registration Qualification Training at Bristol Dental Hospital in Bristol, UK. She is a GDC Registered Dental Nurse; has a NEBDN National Certificate in Dental Nursing, Certificate in Dental Sedation Nursing, Oral Health and Dental Radiography; Tutor of the Year 2010 (DDU Educational Awards); and Co-Author of Basic Guide to Maxillofacial Surgery and Post Registration Qualifications Questions and Answers.

• How to Use This Book ixAcknowledgements xi1 Introduction 1Definition of conscious sedation 2Why dental sedation is provided 22 Medico]legal aspects of dental sedation 7Introduction 7Recommendations currently in place when providing dental sedation 7Medico]legal considerations when providing dental sedation 143 Role of the dental nurse and equipment 23Introduction 23eneral role of the dental nurse 24Intravenous sedation 25Inhalation sedation 43Oral sedation and pre]medication 46Transmucosal (off]licence) sedation 48Clinical monitoring and equipment used 494 Patient selection 65Introduction 65The assessment appointment 65Medical history 66Physical examination 67Dental history 69Social history 69Conclusion 705 Types of sedation 71Introduction 71Pharmacology 72Intravenous sedation 72Transmucosal (off]licence) sedation 84Inhalation sedation 86Oral sedation and pre]medication 1116 Medical emergencies 117Introduction 117Minimising the likelihood of medical emergencies 118Legal aspects of medical emergencies 119Dealing with medical emergencies 119Common medical emergencies 125Airway control and ventilation 1447 Essential anatomy 157Introduction 157Blood 157Heart 160Respiratory system 163Dorsum of the hand and antecubital fossa 172References 175Index 177

NICOLA ROGERS is a Dental Nurse Tutor for Pre and Post Registration Qualification Training at Bristol Dental Hospital in Bristol, UK. She is a GDC Registered Dental Nurse; has a NEBDN National Certificate in Dental Nursing, Certificate in Dental Sedation Nursing, Oral Health and Dental Radiography; Tutor of the Year 2010 (DDU Educational Awards); and Co-Author of Basic Guide to Maxillofacial Surgery and Post Registration Qualifications Questions and Answers.

• How to Use This Book ixAcknowledgements xi1 Introduction 1Definition of conscious sedation 2Why dental sedation is provided 22 Medico]legal aspects of dental sedation 7Introduction 7Recommendations currently in place when providing dental sedation 7Medico]legal considerations when providing dental sedation 143 Role of the dental nurse and equipment 23Introduction 23eneral role of the dental nurse 24Intravenous sedation 25Inhalation sedation 43Oral sedation and pre]medication 46Transmucosal (off]licence) sedation 48Clinical monitoring and equipment used 494 Patient selection 65Introduction 65The assessment appointment 65Medical history 66Physical examination 67Dental history 69Social history 69Conclusion 705 Types of sedation 71Introduction 71Pharmacology 72Intravenous sedation 72Transmucosal (off]licence) sedation 84Inhalation sedation 86Oral sedation and pre]medication 1116 Medical emergencies 117Introduction 117Minimising the likelihood of medical emergencies 118Legal aspects of medical emergencies 119Dealing with medical emergencies 119Common medical emergencies 125Airway control and ventilation 1447 Essential anatomy 157Introduction 157Blood 157Heart 160Respiratory system 163Dorsum of the hand and antecubital fossa 172References 175Index 177