Modules

5.4 Advanced behavior guidance Techniques—Continued


Deep Sedation and General Anesthesia—Risk Management

In addition to evaluating the qualifications of the anesthesia provider, the dentist must be involved with the following aspects of care to minimize risks for the child:

  1. Facilities and equipment
  2. Monitoring and documentation
  3. Selection of children using their medical history, physical status, and indications for anesthetic management
  4. Preoperative evaluation
  5. Appropriately trained support personnel
  6. Emergency medications, equipment, and protocols
  7. Preoperative and postoperative instructions
  8. Criteria and management of recovery and discharge

Deep Sedation and General Anesthesia—Continuous Quality Improvement

To reduce the chance of medical errors and to determine the root cause of errors that occur, aspects of continuous quality improvement are applied in the outpatient setting during the administration of deep sedation and general anesthesia as described in the American Academy of Pediatric Dentistry’s Clinical Guideline on the Elective Use of Minimal, Moderate, and Deep Sedation and General Anesthesia 5.