Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 26 - ANESTHESIA › Section 818-026-0010 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
As used in these rules:
(1) "Anesthesia Monitor" means a person
			 trained in monitoring patients under sedation and capable of assisting with
			 procedures, problems and emergency incidents that may occur as a result of the
			 sedation or secondary to an unexpected medical complication.
(2) "Anxiolysis" means the diminution or
			 elimination of anxiety.
(3)
			 "General Anesthesia" means a drug-induced loss of consciousness during which
			 patients are not arousable, even by painful stimulation. The ability to
			 independently maintain ventilatory function is often impaired. Patients often
			 require assistance in maintaining a patent airway, and positive pressure
			 ventilation may be required because of depressed spontaneous ventilation or
			 drug-induced depression of neuromuscular function. Cardiovascular function may
			 be impaired.
(4) "Deep Sedation"
			 means a drug-induced depression of consciousness during which patients cannot
			 be easily aroused but respond purposefully following repeated or painful
			 stimulation. The ability to independently maintain ventilatory function may be
			 impaired. Patients may require assistance in maintaining a patent airway, and
			 spontaneous ventilation may be inadequate. Cardiovascular function is usually
			 maintained.
(5) "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 a patent airway, and
			 spontaneous ventilation is adequate. Cardiovascular function is usually
			 maintained.
(6) "Minimal Sedation"
			 means minimally depressed level of consciousness, produced by non-intravenous
			 pharmacological methods, that retains the patient's ability to independently
			 and continuously maintain an airway and respond normally to tactile stimulation
			 and verbal command. When the intent is minimal sedation for adults, the
			 appropriate initial dosing of a single non-intravenous pharmacological method
			 is no more than the maximum recommended dose (MRD) of a drug that can be
			 prescribed for unmonitored home use. Nitrous oxide/oxygen may be used in
			 combination with a single non-intravenous pharmacological method in minimal
			 sedation.
(7) "Nitrous Oxide
			 Sedation" means an induced, controlled state of minimal sedation, produced
			 solely by the inhalation of a combination of nitrous oxide and oxygen in which
			 the patient retains the ability to independently and continuously maintain an
			 airway and to respond purposefully to physical stimulation and to verbal
			 command.
(8) "Maximum recommended
			 dose" (MRD) means maximum Food and Drug Administration (FDA) recommended dose
			 of a drug, as printed in FDA approved labeling for unmonitored use.
(9) "Incremental Dosing" means during minimal
			 sedation, administration of multiple doses of a drug until a desired effect is
			 reached, but not to exceed the maximum recommended dose (MRD).
(10) "Supplemental Dosing" means during
			 minimal sedation, supplemental dosing is a single additional dose of the
			 initial drug that is necessary for prolonged procedures. The supplemental dose
			 should not exceed one-half of the initial dose and should not be administered
			 until the dentist has determined the clinical half-life of the initial dosing
			 has passed. The total aggregate dose must not exceed 1.5x the MRD on the day of
			 treatment.
(11) "Enteral Route"
			 means administration of medication via the gastrointestinal tract.
			 Administration by mouth, sublingual (dissolving under the tongue), intranasal
			 and rectal administration are included.
(12) "Parenteral Route" means administration
			 of medication via a route other than enteral. Administration by intravenous,
			 intramuscular, and subcutaneous routes are included.
(13) American Society of Anesthesiologists
			 (ASA) Patient Physical Status Classification System.
(a) ASA I "A normal healthy
			 patient".
(b) ASA II "A patient
			 with mild systemic disease".
(c)
			 ASA III "A patient with severe systemic disease".
(d) ASA IV "A patient with severe systemic
			 disease that is a constant threat to life".
(e) ASA V "A moribund patient who is not
			 expected to survive without the operation".
(f) ASA VI "A declared brain-dead patient
			 whose organs are being removed for donor purposes".