Illinois Administrative Code › Title 68 - PROFESSIONS AND OCCUPATIONS › Part 1220 - ILLINOIS DENTAL PRACTICE ACT › Subpart E - ANESTHESIA PERMITS › Appendix D - Characteristics of Levels of Anesthesia*

Current through Register Vol. 48, No. 28, July 12, 2024
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).