Ill. Admin. Code tit. 68, pt. 1220, subpt. E, app D
Factors | Minimal Sedation (No Permit required) | Moderate/Conscious Sedation (Permit A) | Deep Sedation (Permit B) | General Anesthesia (Permit B) |
Goal | Decrease anxiety; facilitate coping skills | Decrease or eliminate anxiety; facilitate coping skills | Eliminate anxiety; coping skills over-ridden | Eliminate cognitive, sensory and skeletal motor activity |
Definition | Minimally depressed level of consciousness, produced by a pharmacological method, that retains the patient's ability to independently and continually maintain an airway and respond normally to tactile stimulation and verbal command. Although cognitive function and coordination may be modestly impaired, ventilatory and cardiovascular functions are unaffected | Pharmacologically induced depressed state of consciousness (altered consciousness, signs of sleep) under which an individual retains the ability to independently and continuously maintain an airway and respond appropriately to light tactile stimulation and oral commands | Pharmacologically induced controlled state of depressed consciousness, accompanied by partial loss of protective reflexes, including inability to respond purposefully to oral commands. The purposeful response to painful stimulation is maintained | Pharmacologically induced controlled state of unconsciousness accompanied by a partial or complete loss of protective reflexes, including inability to independently maintain an airway and respond purposefully to painful stimulation or oral commands |
Personnel | 1 (treating dentist) | 3 (treating dentist with Permit A; trained person to monitor patient or nurse anesthetist; trained assistant) OR 3 (treating dentist w/o Permit A/B; physician or dentist with Permit A/B; trained assistant) | 3 (treating dentist with Permit B; trained person to monitor patient or nurse anesthetist; trained assistant) OR 3 (treating dentist w/o Permit B; physician or dentist with Permit B; trained assistant) | 3 (treating dentist with Permit B; trained person to monitor patient or nurse anesthetist, trained assistant) OR 3 (treating dentist w/o Permit B; physician or dentist with Permit B; trained assistant) |
Monitoring | Clinical observation and monitoring as appropriate | Preoperative, intraoperative and pre-discharge monitoring of BP, pulse, respiration and oxygen saturation | Preoperative, intraoperative, and pre-discharge monitoring of BP, pulse, respiration and oxygen saturation, EKG monitoring. Defibrillator required | Preoperative, intraoperative, and pre-discharge monitoring of BP, pulse, respiration and oxygen saturation, EKG monitoring. Defibrillator required |
* Chart adapted from American Academy of Pediatric Dentistry, Reference Manual 2000-2001, Templates of Definitions and Characteristics for Levels of Sedation and General Anesthesia and the American Dental Association, Guidelines for the Use of Sedation and General Anesthesia by Dentists (October 2012).
Ill. Admin. Code tit. 68, pt. 1220, subpt. E, app D