New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 5 - DENTISTRY (DENTISTS, DENTAL HYGIENISTS, ETC.) › Part 15 - DENTISTS, ANESTHESIA/SEDATION ADMINISTRATION › Section 16.5.15.7 - DEFINITIONS

Current through Register Vol. 35, No. 13, July 16, 2024
A.
"Anxiolysis"
the diminution or elimination or reduction of anxiety
				without a concomitant reduction of the patient's awareness or ability to react
				to stimuli. For the purposes of these rules, only a single dose of a single
				drug within the normal therapeutic dose is allowed.
B.
"American society of
				anesthesiologists (ASA) classification"
is the physical status
				classification system as defined by the American society of
				anesthesiologists.
C.
"Combination inhalation-enteral sedation (combined conscious
				sedation)"
- conscious sedation using inhalation and enteral agents.
				Nitrous oxide/oxygen when used in combination with sedative agents may produce
				anxiolysis, conscious or deep sedation or general anesthesia.
D.
"CODA"
means the commission
				on dental accreditation.
E.
"Conscious sedation"
means a minimally depressed level of
				consciousness that retains the patients' ability to independently and
				continuously maintain an airway and respond appropriately to physical
				stimulation and verbal command. Conscious sedation is produced by a
				pharmacologic or non-pharmacologic method or combination thereof. In accord
				with this particular definition, the drugs and techniques used should carry a
				margin of safety wide enough to render unintended loss of consciousness
				unlikely. Further, patients whose only response is reflex withdrawal from
				repeated painful stimuli would be considered to be in a deeper state of
				anesthesia than conscious sedation. For the purposes of this chapter, conscious
				sedation is further defined as minimal and moderate sedation.
F.
"Deep sedation"
means an
				induced state of depressed consciousness accompanied by partial loss of
				protective reflexes, including the inability to continually maintain an airway
				independently and to respond purposefully to verbal command. Deep sedation is
				produced by a pharmacologic or non-pharmacologic method or combination
				thereof.
G.
"Enteral"
means any technique of administration in which the agent is absorbed through
				the gastrointestinal tract or oral mucosa (ie oral, rectal,
				sublingual).
H.
"End tidal
				carbon dioxide (ETCO2) capnography"
means monitoring of the
				concentration or partial pressure of end tidal carbon dioxide in respiratory
				gases.
I.
"General
				anesthesia"
means an induced state of unconsciousness, accompanied by
				partial or complete loss of protective reflexes, including the inability to
				continually maintain an airway independently and respond purposefully to
				physical stimulation or verbal command. General anesthesia is produced by a
				pharmacologic or non-pharmacologic method or combination thereof.
J.
"Minimal sedation"
means a
				minimally depressed level of consciousness, produced by a pharmacological
				method that retains the patient's ability to independently and continuously
				maintain an airway and respond normally to tactile and verbal commands.
				Although cognitive function and coordination may be modestly impaired,
				ventilation and cardiovascular functions are unaffected. If more than one
				enteral drug is administered to achieve the desired effect, with or without
				concurrent use of nitrous oxide inhalation, the guidelines for moderate
				sedation must apply. The administration of an enteral drug exceeding the
				maximum recommended single dose during a single appointment is considered to be
				moderate sedation. Concomitant use of nitrous oxide with any sedative agent may
				produce minimal, moderate or deep sedation or general anesthesia.
K.
"Moderate sedation"
means a
				drug induced depression of consciousness during which patients respond
				purposefully to verbal commands, either alone or accompanied by light tactile
				stimulation. No interventions are required to maintain patent airway, and
				spontaneous ventilation is adequate, cardiovascular function is usually
				maintained. In accord with this particular definition, the drugs and techniques
				used should carry a margin of safety wide enough to render unintended loss of
				consciousness unlikely. A patient whose response is reflex withdrawal from
				painful stimuli is considered to be in a deeper state than that moderate
				sedation.
L.
"Monitor"
means to constantly watch or check on the condition of the patient.
M.
"Nitrous oxide inhalation
				analgesia"
means the administration by inhalation of a combination of
				nitrous oxide and oxygen, producing an altered level of consciousness that
				retains the patient's ability to independently and continuously maintain an
				airway and respond appropriately to physical stimulation or verbal
				command.
N.
"Parenteral"
means any technique of administration in which the
				drug is injected through the dermis or into blood vessel (i.e.,; intramuscular,
				subcutaneous, or intravenous injections).
O.
"Prescribed administration"
means the nitrous oxide is administered by a dental hygienist or dental
				assistant under the indirect supervision of the dentist with the dentist's
				authorization.
P.
"Titration"
means the incremental dosing of an intravenous or
				inhalation drug until the desired effect is reached. One must know if the
				previous dose of the drug has taken full effect before administering additional
				increments.