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The Failed Sedation: Solutions for the Oral and Maxillofacial Surgeon

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journal contribution
posted on 25.06.2018 by Robert C. Bosack
Failed sedation is the inability to satisfactorily complete a planned procedure [with sedation]. Failed sedation is an inexorably entwined, multifactorial event, which can be due to unsuitable patient, procedure or facility choices; inappropriate drug selection/dose, adverse drug response, and/or lack of a shared, structured and realistic anesthetic plan. The true incidence of failed sedation in the OMFS office is unknown, but can approach 1 case per month Failed sedation can best be prevented by communication and realistic alignment of patient expectations. Management of failed sedation will most often include lightening anesthetic depth and/or aborting the planned procedure, with patient safety remaining the top priority.

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Citation

Bosack, R. C. The Failed Sedation: Solutions for the Oral and Maxillofacial Surgeon. Oral and Maxillofacial Surgery Clinics of North America. 2018. 30(2): 165-169. 10.1016/j.coms.2018.01.004

Publisher

Elsevier

Language

en_US

issn

1042-3699

Issue date

10/04/2018

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