The Art and Science of Sedation in the Dental Office: Nitrous Oxide & Oral Sedation
Friday, Saturday & Sunday, December 4-6, 2009 with David Donaldson, BDS, Fred Quarnstrom, DDS, Mark Donaldson, PharmD, & Evan McAllister
This course offers instruction in all aspects of inhalation analgesia and oral conscious sedation, including effective methods in dealing with anxiety control in general practice. Our Faculty specializes in adult learning by utilizing a multimedia approach with enhances knowledge and retention. Participants will learn various techniques and protocols designed to achieve certification in nitrous oxide/oxygen sedation as well as competency in providing oral anxiolysis. A patient-centered approach to care is emphasized with lecture on appropriate medication section, monitoring and practical emergency management. Case studies will augment the delivery of key points and a problem-based learning approach is encouraged so that each participant’s questions are addressed.
The goal of this program in anxiety and pain control is to provide the educational opportunity for dentists to receive training in the various techniques and skills required to manage anxiety and pain in the conscious dental patient and to permit dentists who have previously received such training to maintain and/or upgrade their knowledge and skills. The faculty responsible for the curriculum in conscious sedation techniques are familiar with the ADA Policy Statement: The Use of Conscious Sedation, Deep Sedation and General Anesthesia in Dentistry, and the Commission on Dental Accreditation's Accreditation Standards for Dental Education Programs. The objectives and topics represent the ADA competency statements required to be taught in order to have this course recognized and be accredited. Our faculty will meet these objectives in addition to including lectures on local anesthesia, pharmacological and non-pharmacological methods of controlling anxiety and pain and the management of related complications. While the length of a course is only one of the many factors to be considered in determining the quality of an educational program, this course includes a minimum of 21 hours, including a 6-hour clinical component during which competency in inhalation sedation technique, establishing intravenous access, and supporting a patient's airway are both demonstrated and observed.
Course Objectives:
- Describe the most recent ADA Guidelines and state regulations for anxiolysis and sedation
- Provide safe and effective anxiolysis and sedation using oral and inhalational techniques
- Identify and describe areas of controversy regarding traditional dental relaxation methods and approaches to analgesia
- Discuss new pharmacologic agents and their optimal use in dentistry
- Avoid the pitfall of potential drug interactions
- Modify dental treatment in relations to overall therapeutic regimen and recognize and manage potential emergencies
Topics for Day One:
- Etiology of Dental Anxiety & Comparison of Techniques
- Pharmacology of Oral Sedatives
- Practical Venipuncture and "Ambu bag" Application
- Pain Theory
- Reversal Agents and Flumazenil
- Venous Drainage of the Upper Limb
- Oral Sedation Techniques Including "Politics" and Monitoring, Rules and Regulations
Topics for Day Two:
- Intravenous and Inhalational Sedation
- Pharmacology 101
- Applied Physiology & Anatomy of Respiration
- Nitrous Oxide Equipment
- Nitrous Oxide Complications / Contraindications
- First Demonstration - Incremental technique
- Drug Interactions and Databases
- Contamination and Scavenging
Topics for Day Three:
- Patient monitoring using observation & monitoring equipment
- Medical Emergencies and Patient Assessment
- Prevention, recognition and management of complications
- Nitrous Oxide Installation
- Nitrous Oxide and Oxygen Pharmacology
- Local Anesthesia Update
- Inhalational Sedation Techniques, Rules and Regulations
- Maintaining proper records
- Recording medical history, physical examination, vital signs, drugs administered and patient response
- Review of dental procedures possible under enteral and/or combination inhalation enteral conscious sedation
- Patient evaluation and selection through review of medical history taking, physical diagnosis & psychological profiling.
When: Friday, Saturday & Sunday, December 4-6, 2009
Course: #DNEL120409
Time: 9:00 a.m. to 5:00 p.m. - All Days
Location: Friday - DoubleTree Lloyd Center Saturday & Sunday - OHSU School of Dentistry
Cost: Friday, Saturday & Sunday: $1495.00 per dentist (21 hours)
This course is designed to fulfill Oregon Board of Dentistry requirements for the anesthesia permit level 2 (21 hours - days 1, 2 & 3)
SPEAKERS: David Donaldson, BDS, FDSRCS, MDS, FADSA, received his dental degree from St. Andrews University in 1965, before going on to complete his Fellowship in Dental Surgery through the Royal College of Surgeons in Edinburgh in 1969. In 1971 he was granted his Masters Degree in Restorative Dentistry by Dundee University. Dr. Donaldson came to The University of British Columbia in 1970 to become the Director of Pain and Anxiety Control in the Faculty of Dentistry. His past appointments include Head of the Departments of Oral Biological and Medical Sciences, and Oral Surgery; past Chairman of the Canadian Dental Association Council on Education; and past President of the Association of the Canadian Faculties of Dentistry, and the International Federation of Dental Education Associations. Dr. Donaldson is a Professor and Head of the Division of Pain and Anxiety Control at UBC, and has a part-time practice on Vancouver Island, restricted to the treatment of chronic head and neck pain.
Fred Quarnstrom, DDS, FADSA, FAGD, FICD, FACD, received his dental degree from the University of Washington Dental School in 1964, and was a postgraduate resident in anesthesiology at Washington Hospital Centre in Washington, D.C. He is a Fellow of the American Dental Society of Anesthesiology, the International College of Dentistry, the Academy of General Dentistry, American College of Dentistry and a Diplomat of the American and National Dental Boards of Anesthesiology. He is certified by the American Association of Dental Consultants. Dr. Quarnstrom has published over 40 papers and two chapters, and lectured extensively on nitrous oxide oxygen analgesia and oral conscious sedation, and currently has a general practice in Seattle, He is on the faculty at the University of Washington and Faculty of Dentistry at UBC.
Mark Donaldson, BSc (Pharm), PharmD, FASHP, received his Pharmacology degree from the University of British Columbia and his Doctorate in Clinical Pharmacy from the University of Washington. He completed a clinical residency at Vancouver General Hospital and is the current Director of Pharmaceutical Services at the Kalispell Regional Medical Center near his home in Whitefish, Montana. He is clinical assistant professor of the Department of Pharmacy at the University of Montana in Missoula, and a clinical assistant professor in the School of Dentistry at the Oregon Health & Sciences University. Dr. Donaldson is a continuing education speaker for the University of Washington, Washington State University, Oregon Health Sciences University, and the University of British Columbia. He has a special interest in dental pharmacology and has lectured internationally on a number of related topics for both dental and medical practitioners, and spent three years in Japan focusing on cross-cultural communication and internationalization, and he has the two cutest children in the world.
Evan McAllister, is a CRTT-CMVG, and is the founder and current President of Nitrox Inc. Nitrox serves as a consultant to University of Washington, Oregon Health & Sciences University and The University of British Columbia for medical-dental nitrous oxide sedation. Charter member of MGPHO (Medical Gas Professional Health Organization), PIPE (Piping Industry Progress and Education), WSSHE (Washington State Society of Healthcare of Engineering) and ASHE 6030 (American Society for Healthcare Engineers).
