Continuing Education

• List and discuss the advantages and disadvantages of moderate sedation.
• Discuss the prevention, recognition and management of complications associated with moderate sedation.
• Administer moderate sedation to 20 patients in a clinical setting in a safe and effective manner.
• Discuss the abuse potential, occupational hazards and other untoward effects of the agents utilized to achieve moderate sedation.
• Describe and demonstrate the technique of intravenous access, intramuscular injection and other parenteral techniques.
• Discuss the pharmacology of the drug(s) selected for administration.
• Discuss the precautions, indications, contraindications and adverse reactions associated with the drug(s) selected.
• Administer the selected drug(s) to 20 dental patients in a clinical setting in a safe and effective manner.
• List the complications associated with techniques of moderate sedation.
• Describe a protocol for management of emergencies in the dental office and list and discuss the emergency drugs and equipment required for the prevention and management of emergency situations.
• Discuss principles of advanced cardiac life support or an appropriate dental sedation/ anesthesia emergency course.
• Demonstrate the ability to manage emergency situations.
• Demonstrate the ability to diagnose and treat emergencies related to the next deeper level of anesthesia than intended.

1. Historical, philosophical and psychological aspects of anxiety and pain control.
2. Patient evaluation and selection through review of medical history taking, physical diagnosis and psychological considerations.
3. Use of patient history and examination for ASA classification, risk assessment and preprocedural fasting instructions.
4. Definitions and descriptions of physiological and psychological aspects of anxiety and pain.
5. Description of the sedation anesthesia continuum, with special emphasis on the distinction between the conscious and the unconscious state.
6. Review of adult respiratory and circulatory physiology and related anatomy.
7. Pharmacology of local anesthetics and agents used in moderate sedation, including drug interactions and contraindications.
8. Indications and contraindications for use of moderate sedation.
9. Review of dental procedures possible under moderate sedation.
10. Patient monitoring using observation and monitoring equipment, with particular attention to vital signs, ventilation/breathing and reflexes related to consciousness.
11. Maintaining proper records with accurate chart entries recording medical history, physical examination, informed consent, time-oriented anesthesia record (including the name of all drugs administered including local anesthetics), doses, and monitored physiological parameters.
12. Prevention, recognition and management of complications and emergencies.
13. Description, maintenance and use of moderate sedation monitors and equipment.
14. Discussion of abuse potential.
15. Intravenous access: anatomy, equipment and technique.
16. Prevention, recognition and management of complications of venipuncture and other parenteral techniques.
17. Description and rationale for the technique to be employed.
18. Prevention, recognition and management of systemic complications of moderate sedation, with particular attention to airway maintenance and support of the respiratory and cardiovascular systems.

You will need to be ACLS certified to get your sedation permit from the California Dental Board. Your ACLS certification begins online at www.ACLS-Algorithms.com. ACLS-Algorithms has been providing online ACLS training since 2010 to help health care providers prepare for and pass the American Heart Association ACLS Certification. Your ACLS preparation should not have to be stressful or difficult. ACLS-Algorithms will provide you low-stress, highly focused and an entertaining environment for learning. Begin this online training ASAP after course registration.

Bay Area IV Wisdom reserves the right to cancel or postpone any course, modify the announced course content, limit enrollment, or change the location, time, date or speakers due to unforeseen circumstances. Examples of circumstances that could cause course cancellation include weather, natural disasters, medical conditions, government regulations, facility availability and dental board restrictions. Bay Area IV Wisdom is not responsible for the refund of any part of the course fee as a result of emergencies, unforeseen circumstances or events beyond its control. In the event that Bay Area IV Wisdom cancels a program, the registrant will receive a refund or credit toward another continuing education course.

Full refunds will be made when a course is canceled and is no longer available or a dentist provides documentation proving that they no longer practice dentistry. Bay Area IV Wisdom liability is for the course fee only and is not responsible for any other costs incurred.

Attendees who have registered for a course and are unable to attend will receive credit for the next available course provided their space can be filled. Bay Area IV Wisdom courses may include controversial materials. Bay Area IV Wisdom acknowledges that there is a potential risk to participants using limited knowledge when incorporating new techniques and procedures into their practices.