As mentioned , ventilation can also be measured by auscultation of breath sounds with a pre-tracheal stethoscope . Since this is a very accurate and effective way to measure ventilation , it ’ s often utilized , even though it ’ s not required . When using a pretracheal stethoscope , respiration rate will need to be calculated and documented manually .
What about level of consciousness ? While there ’ s a monitoring component called EEG or electroencephalogram that measures level of consciousness , it ’ s not considered necessary for conscious sedation . Thus , responsiveness to verbal command is deemed to be adequate for all levels of conscious sedation .
Conclusion
Choosing a monitor to meet sedation regulations may seem like a daunting task , however the ultimate goal is increased patient safety . A monitor that meets the regulations and works well with the practice needs will make sedation simple , safe , and effective .
This article was originally published in the August 2021 issue of Texas Dental Journal .
A Monitor to Check All the Boxes
Looking for a monitor that meets the requirements for your level of sedation permit would be a great starting point .
At a minimum , most basic vital signs monitors have a pulse oximeter to determine oxygenation . Additionally , they include non-invasive automatic blood pressure monitoring and will give the heart rate , which will check the circulation box . It should be noted , however , that for Level 3 and 4 , an ECG is required .
Two things that are closely related are ventilation and respiration . How will ventilation be monitored ? And how will respiration rate be measured and documented ?
If the preference is to have respiration rate recorded on the monitor , then a full-parameter monitor that includes ETCO2 may be the ticket — even for a Level 2 or 3 sedation provider . Capnography is required for a Level 4 sedation permit holder . Capnography measures ventilation and will also give you a respiration reading for your documentation .
Rose Dodson is the Founder / CEO of Sedation Resource , Inc ., an entrepreneur , and an innovative product developer . She is a national speaker and recognized equipment specialist . Besides her passion for business , she loves getting in a good round of golf or spending time on the coast .
( 800 ) 753-6376 texasrose @ sedationresource . com
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