Designed to be used with a course in sedation that provides for the clinical management of patients in a controlled (supervised) environment. Combining essential theory with technical instruction, it is a definitive resource for the practicing professional. Considered are factors such as the physical, emotional and mental condition of the patient as well as required ADA guidelines for sedation. All such aspects are then incorporated into the sedation techniques to improve the patient's overall dental experience. The result is an indispensable book, expert in its professional protocols and techniques, and comprehensive in its wide-ranging considerations.

Features

Written by an acknowledged expert in the field, the book draws on a wealth of clinical experience and ability.
Combines all aspects of sedation with essential theoretical and technical instruction.
Techniques are divided into sections on pharmacology, armamentarium, and technique and complications - described in explicit detail that allows it to be used as a chairside reference.
Pharmacosedation is covered in full, with discussions of oral, rectal, and IM premedication, as well as nine chapters on inhalation sedation and ten chapters on IV sedation.
Covers all of the components required by the ADA guidelines: review of cardiovascular and respiratory physiology; selection of agents; techniques of administration; and management of complications and emergencies.
Step-by-step descriptions of inhalation sedation (nitrous oxide and oxygen) and intravenous sedation provide a superb clinical "picture" of the procedures.
Chapters on pediatric, geriatric and physically and medically compromised patients offer valuable, up-to-date information on the management of these special needs patients.
In-depth discussions of the pharmacology of commonly used sedative agents allow the reader to fully understand properties and characteristics of drugs used.

What's New

End of chapter review questions to test the student's grasp of materials.
Content completely updated to include the most current drugs.
More information on recreational abuse of nitrous oxide to reflect the current societal trends.
More overall emphasis incorporated on nitrous oxide/oxygen, as many hygienists are becoming certified to administer this form of sedation.
Includes the latest on the American Heart Association's recommendations for the prevention of bacterial endocarditis.
Many halftones and line drawings have been replaced to improve the quality of the illustration program.
The overall design of the edition has been revamped to increase its visual appeal and to make it more instructive.

Part One: Introduction
1. Pain and Anxiety in Dentistry

Part Two: Spectrum of Pain and Anxiety Control
2. Introduction to Conscious Sedation
3. The Spectrum of Pain and Anxiety Control
4. Physical and Psychological Evaluation
5. Monitoring During Conscious Sedation
6. Non-Drug Techniques: Iatrosedation and Hypnosis

Part Three: Oral, Rectal, and Intramuscular Sedation
7. Oral Sedation
8. Rectal Sedation
9. Sublingual, Transdermal, and Intranasal Sedation
10. Intramuscular Sedation

Part Four: Inhalation Sedation
11. Historical Perspective
12. Pharmacosedation: Rationale
13. Pharmacology, Anatomy, and Physiology
14. Armamentarium
15. Inhalation Sedation: Techniques of Adminstration
16. Inhalation Sedation: Complications
17. Contemporary Issues Surrounding Nitrous Oxide
18. Practical Considerations
19. Teaching Inhalation Sedation: History and Present Guidelines

Part Five: Intravenous Sedation
20. Historical Perspective
21. Intravenous Conscious Sedation: Rationale
22. Armamentarium
23. Anatomy for Venipuncture
24. Venipuncture Technique
25. Pharmacology
26. Techniques of Intravenous Conscious Sedation
27. Complications
28. Practical Considerations
29. Guidelines for Teaching

Part Six: General Anesthesia
30. Background
31. Armamentarium, Drugs, and Techniques

Part Seven: Emergency Preparation and Management
32. Preparation for Emergencies
33. Emergency Drugs and Equipment
34. Management of Emergencies

Part Eight: Special Considerations
35. The Pediatric Patient
36. The Geriatric Patient
37. The Medically Compromised Patient
38. The Physically Compromised Patient
39. Neurologic Illnesses and Other Conditions