Propofol in Dental Sedation
Use of Propofol in Dental Sedation
Editorial Opinion
A very desirable property of Propofol is a quick recovery from deep or general anesthesia to an awake state.
This same property, however, makes for a small therapeutic window when using propofol for minimal or moderate sedation.
Therefore, there likely is too small of a margin of safety
"wide enough to render unintended loss of consciousness unlikely"
[BPC Division 2, Chapter 4 Section 1647]
Therefore, propofol "should be administered only by persons trained in the administration of general anesthesia and not involved in the conduct of the surgical/diagnostic procedure."
"...Patients receiving propofol should receive care consistent with that required for deep sedation."
ASA Statement on Safe Use of Propofol
"...standards
presently required for deep sedation and general anesthesia
should be required when the degree of sedation in the continuum of sedation is such that there is a reasonable possibility that loss of consciousness may result, even if unintended."
BPC Division 2, Chapter 4, Article 2.8, Section 1647(c) and BPC Division 2, Chapter 4, Article 2.84, Section 1647(c)
"The drugs and techniques used in moderate sedation shall have a margin of safety wide enough to render unintended loss of consciousness unlikely. Further, patients whose only response is reflex withdrawal from painful stimuli shall not be considered to be in a state of moderate sedation."
BPC Division 2, Chapter 4, Article 2.84, Section 1647(c) and BPC Division 2, Chapter 4, Article 2.84, Section 1647.1(b)
