Nitrous Oxide Sedation Training

#dentistry #dentalpractice #dentalcare Nitrous Oxide Sedation Procedure:
1. Preparation
- Review patient’s medical history and obtain consent.
- Gather all necessary equipment: nasal mask, N2O/O2 delivery system, flow meter, and scavenging system.
- Ensure the patient is seated comfortably in the dental chair.
2. Initial Assessment
- Take baseline vital signs (blood pressure, pulse, and respiration rate).
- Explain the procedure to the patient, including what they might experience.
3. Nasal Mask Placement
- Place the nasal mask on the patient's nose and ensure it fits comfortably.
- Adjust the mask straps for a secure fit.
4. Oxygen Administration
- Begin by administering 100% oxygen for 5 minutes. (6L/min)
- This helps to establish a baseline and ensure proper oxygenation.
5. N2O Titration
- Gradually introduce nitrous oxide by increasing the concentration slowly.
- Start with a low concentration (10-20%) and incrementally increase as needed.
- Continuously monitor the patient’s response and comfort level.
6. Monitoring During Sedation
- Observe the patient’s level of consciousness, respiration, and overall comfort.
- Adjust the nitrous oxide and oxygen levels as needed to maintain desired sedation.
7. Communication
- Maintain open communication with the patient, asking about their comfort and any sensations they are experiencing.
- Provide reassurance and make adjustments as necessary.
8. Completion of Procedure
- Once the dental procedure is complete, gradually reduce the nitrous oxide concentration.
- Return to 100% oxygen for 5 minutes to flush out any residual nitrous oxide.
9. Post-Sedation Assessment
- Monitor the patient until they are fully alert and responsive.
- Take post-sedation vital signs and compare them to baseline.
10. Discharge Instructions
- Provide the patient with post-sedation care instructions.
- Ensure the patient is escorted home by a responsible adult if necessary.
Thank you Dr.Mahy, Dr.Olga and Dr.Rinkal for your help!
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