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This article outlines considerations for use of inhalation sedation (IS) in a primary care setting. It looks at indications, contra-indications and case selection for use of IS in practice. The article also considers relevant rules, regulations and guidelines a practitioner should be aware of if practicing inhalation sedation. Some useful practical tips are included on setting up an inhalation sedation practice and being compliant with the Care Quality Commission (CQC) regulations. Standard requirements for staff and patient safety in practice setting are discussed, as are training, governance and CPD requirements for the dental team providing sedation in accordance with latest guidelines on conscious sedation.
CPD/Clinical Relevance: This article will be useful for clinicians looking to update their knowledge on the use of inhalation sedation in the primary care setting.
Article
Following the removal of dental general anaesthesia from primary care in 2001, sedation services have continued to develop within primary care, with the emphasis placed on safe and effective provision of conscious sedation.1,2,3 This relies on the sedation team being appropriately trained and experienced and having the appropriate environment, equipment, drugs, premises and ability to deal effectively with any emergency.4 It also relies on adherence to guidance, legislation and monitoring of standards.2,3,5,6
This article looks at how to ensure safe and effective conscious sedation within a practice setting.
Inhalation sedation with nitrous oxide and oxygen (IS) has been a mainstay of paediatric dentistry for many years in the UK, and has been seen to be a viable and cost-effective alternative to general anaesthesia.7,8
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