Clinical practice guidelines for diagnostic and procedural sedation

Karm, Myong-Hwan

doi:2023.61.4.298

J Korean Dent Assoc > Volume 61(4); 2023 > Article

The Journal of The Korean Dental Association 2023;61(4):298-306.
DOI: https://doi.org/10.22974/jkda.2023.61.4.004 Published online March 31, 2023.

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감명환

서울대학교 치의학대학원 치과마취과학교실

Clinical practice guidelines for diagnostic and procedural sedation

Myong-Hwan Karm

Department of Dental Anesthesiology School of Dentistry, Seoul National University

Correspondence: Myong-Hwan Karm, Tel: +82-2-2072-3847, Fax: +82-2-766-9427,
Email: karmmh@snu.ac.kr

Abstract

The American Dental Association states that the administration of local anesthesia, sedation and general anesthesia is an integral part of dental practice. It is significant that the American Dental Association defines sedation as well as local anesthesia as an integral part of dental practice. A new sedation guideline was published in Korea in 2022. This guideline has been published to help both anesthesiologists and non-anesthesiologists provide safe and effective moderate sedation to patients consistently, without limitation, at any medical institu-tion. This guideline was developed with a focus on moderate sedation before, during, and after examinations or procedures for diagnostic and therapeutic purposes. Considering that there is a possibility of transition from moderate to deep sedation depending on the drug administered and the characteristics of each patient, the guideline also includes items for monitoring and coping with complications that may occur due to cardiovascular and respiratory depression. It consists of recommendations for a total of 15 PICO (participants, intervention, comparator, outcome) questions. Individual items covered include education on sedation providers, requirements for supplying drugs and equipment for sedation, selection of appropriate patients, referral to an anesthesiologist when performing sedation for high-risk patients, fasting before sedation, and typical use in adults and children. Comparison of drugs, monitoring of respiratory system, cardiovascular system, depth of sedation during sedation, measures to cope with respiratory complications during sedation in children, and discharge criteria after sedation are included.

Key Words: Practice Guideline; Monitoring; Procedure; Risk management; Sedation; Sedatives