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SEDATION AND ANESTHESIA

Sedation is a state of reduced consciousness that is achieved by giving certain medications that act on the central nervous system. Experience has shown that performing a whole range of procedures that do not in themselves have to be associated with a significant degree of pain, but they represent discomfort for the patient. Factors that contribute to this may be uncomfortable position of the patient in the chair, unpleasant sounds, discomfort associated with performing local anaesthesia, etc. Therefore, sedation has an important role in enabling therapy for the patient to be a pleasant experience, and anaesthesiologist monitors all necessary parameters conditions.

Sedacija i anestezija

1.  What is conscious sedation?

Conscious sedation is defined as a technique by which one or more drugs achieve a state of reduced activity of the central nervous system to achieve a feeling of calmness in the patient, which allows for certain procedures to take place, while maintaining verbal contact with the patient. Medications and techniques used to perform conscious sedation do not lead to loss of consciousness. The most modern anaesthesia machine on the market from the AESPIRE family, with which we perform conscious and deep sedation, has an extremely wide field of work and a large working monitor on which the anaesthesiologist monitors all the necessary parameters of the patient's health. It gives the patient complete peace and comfort for every procedure, even the most difficult one, and it makes the surgeon's procedures as easy as possible, even those that take the longest.

2.  What is deep sedation?

Deep sedation is a technique by which one or more drugs achieve a state of reduced activity of the central nervous system to the extent that it results in loss of consciousness of the patient. There is no verbal contact with the patient and the ability to self-maintain the airway may be impaired. It differs from general anaesthesia in the extent of the procedure that can be performed in this condition. Carrying out deep sedation in any case requires the presence of an anaesthesiologist.

3. How is the preparation of conscious sedation carried out?

Upon arrival at our clinic, you will be greeted by members of the anaesthesiology team who will take care of you during the procedure and immediately after. Together, you will go through your completed health questionnaire and they will ask you a few basic questions. Patients who meet the criteria and belong to the group of healthy people or patients with well-controlled systemic disease can take advantage of sedation. If you have any questions regarding sedation, you will discuss them with your anaesthesiologist. You will be explained the details of the planned procedures and their benefits and possible risks before signing the consent for sedation.

4.  What does the sedation procedure look like?

After the patient’s hand is smeared with a local anaesthetic, a small plastic tube is inserted into one of the patient’s peripheral veins, usually on the back of the hand or in the forearm area, through which the patient receives medication. The patient is connected to the usual monitoring, a pulse oximeter ("hook" which measures blood oxygen saturation at the fingertip) and oxygen flow above the nose, and if necessary, another monitoring is added (ECG, blood pressure monitor, etc.). Conscious sedation is achieved by administering drugs that are given intravenously and up to ten minutes before surgery, and their use continues throughout the procedure. The patient looks awake and conscious, opens her eyes to the call and answers the questions asked, but is not aware of the passage of time nor does she feel fear. She is not bothered by sounds, nor is she uncomfortable. Upon completion of the procedure, the patient spends the next 20 minutes under the supervision of professional staff in the rest room. Upon cessation of medication, the patient goes home with an escort.

Before the conscious sedation procedure, carefully read the instructions to the patient and follow the above exactly to avoid possible complications and inconveniences!

It is not allowed to drink or eat anything 6 hours before the agreed dental procedure with conscious sedation. It is allowed to take only clean water up to 2 hours before the start of the procedure.

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