Sedation & Anesthesia: Treating the Apprehensive, Medically Compromised, and Phobic Patient (CE Course for PCS Permit Renewal) with Dr. Marc Gottlieb (On-Demand & Zoom Webinar)

Course Description:

This unique online course pulls it all together and satisfies the NYS mandated 12 hour CE requirement in enteral, parenteral and I.V. sedation. Certification requirements vary state by state. This course is approved by the NJ Board of Dentistry for 12 of your 20 required credits for renewal of your parenteral conscious sedation permit (PCS Permit).

This program is designed for the general practitioner as well as all specialists. Everyone from the first year dental student to the veteran about to retire will benefit from this course. Today many of our patients treat their own anxiety by self-medicating themselves or expect us to offer them a magic pill. There is no simple solution but this course will show you how to be proactive and avoid serious complications.

Over twenty five percent of the dental population do not visit a dentist on a regular basis out of fear. In order for the dentist to treat this unique population he or she must understand the unique challenges they present. Also, as patients get older and through the advances of modern medicine we encounter patients with a laundry list of medical problems. Once in a while we encounter that special patient who is medically compromised and unmanageable.

Treating the apprehensive man, woman, or child can be very rewarding. When managed properly they remain loyal for life and often refer their friends and family. Everything from tender loving care to general anesthesia will be covered. Other courses teach you how to medicate, communicate and delegate.

Lecture Workshop

This program will demonstrate, through case studies, how utilizing TLC, Nitrous Oxide, Alcohol, Anxiolysis, Oral and I.V. Sedation, can help and manage the apprehensive patient. We will also role-play and simulate dental office emergencies. A significant amount of time will focus on airway management by the solo operator or as a team member working with an anesthesiologist.

Course Objectives:

• Understand how to effectively manage apprehensive children and adults
• Recognize the difference between Anxiolysis, Sedation, Deep Sedation & General Anesthesia
• Early recognition of airway problems and corrective techniques
• How to perform dentistry on a sedated patient with an open or compromised airway
• Be able to manage anesthesia related emergencies
• Determine which additional training is right for your practice

Introduction:

• Identifying the Apprehensive Man, Woman and Child.
• Review of NYS and ADA Sedation Guidelines and Permit Requirements.
• Treatment Planning the Apprehensive, Medically Compromised or   Unmanageable Dental Patient.

Required Equipment and Additional Training:

• Pulse Oximetry, Capnography and Precordial Stethoscope.
• Mild Sedation.
• Moderate Sedation.
• Deep Sedation / General Anesthesia.

Risk Assessment:

• ASA Classifications.
• Airway Anatomy.
• Physical Exam and Assessment.

Record Keeping Requirements based on Level of Sedation.

Medications Classification, Metabolism and Goals:

• Local Anesthesia and Local Anesthesia Complications.
• Nitrous Oxide Sedation and Analgesia.
• Treating Children and Adults with Hypnosis.
• Oral Medications for Mild to Moderate Sedation .
• Mild to Deep Sedation /General Anesthesia via Nasal, IM and IV Medications.
• Treating Substance Use Disorder Patients.
• Management of Autistic Children and Adults.

Management of Complications and Emergencies:

• Treating Syncope, Hyperventilation, Diabetics, Asthmatics, Patients with Coronary Disease  and Special Circumstances.
• Aspiration and Foreign Body Recovery.
• Allergic to Local Anesthesia and Other Medications
• What to Stock in Your Emergency Kit.
• Team Preparation and responsibilities.

Recovery / Rescue from Deeper Levels of Moderate Sedation to General Anesthesia. Didactic and Workshop:

• Reversal Agents: Narcan Training  and Flumazenil administration.

Airway Management

• Simple Maneuvers and how to use a Mouth Mask Valve Device / Bag Valve Mask Device
• Airway Adjuncts to open the airway. Training in the use of Oral and Nasal Airways for the Adults and Children.
• Advanced Airway Exposure and Placement of the King Airway, Combitube, LMA, and Endotracheal Tube.
• Treatment of Larnygospasm

Post treatment management

• Recovery and Monitoring Prior to Discharge
• Pain Management of patients who received controlled medications during treatment.