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Comparisons of oral sedation, GA and Intravenous Sedation

  Comparisons of Types of Anesthesia (CA)   

                                                                                      1Oral Sedation             2Conscious Sedation    3General Anesthesia

Relative Cost

Four Cleanings
One Crown
One Crown

Onset to Effectiveness

Up to 60 minutes
60 seconds
<60 seconds

Titratable?

No
Yes
Yes
Level of Anesthesia
Minimal Sedation
Moderate/Deep
Deep
Recovery
Depends on Half Life
Rapid
Rapid
Reversible?
Not easily
Yes/most
Yes/most
Training Needed
25 hours
60 hours
1-2 years
Memory of Procedure
Some
Very Little
None
Diminish Post Operative Pain
No
Yes
Yes
Route of Administration
Oral
Intravenous/Inhalation
Intravenous/Inhalation
Continuing Education Hours/yr.
7
15
25
Onsite Evaluation Every...
None
6 years
5 years

The safest type of anesthesia is titratable.

1647.18 Oral Sedation
1(c) "Oral conscious sedation" means a minimally depressed level of consciousness produced by oral medication that retains the patient's ability to maintain independently and continuously an airway, and respond appropriately to physical stimulation or verbal command.

2California Business and Professions Code Section 1647.1 (a) As used in this article, "conscious sedation" (intravenous) means a minimally depressed level of consciousness produced by a pharmacologic or nonpharmacologic method, or a combination thereof, that retains the patient's ability to maintain independently and continuously an airway, and respond appropriately to physical stimulation or verbal command.

31646. "General anesthesia," as used in this article, means a controlled state of depressed consciousness or unconsciousness, accompanied by partial or complete loss of protective reflexes, produced by a pharmacologic or nonpharmacologic method, or a combination thereof.