Wisconsin Administrative Code › Dentistry Examining Board › Chapter DE 11 - Anesthesia › Section DE 11.02 - Definitions

Current through June 24, 2024
In this chapter,
(1g)
			 "ASA" means American Society of Anesthesiologists.
(1s) "Class I permit" means a sedation permit
			 issued prior to September 1, 2020. This permit is no longer valid.
(1t) "Class II permit - enteral" means a
			 sedation permit enabling a dentist to administer, by enteral route, moderate
			 sedation.
(1tm) "Class II permit -
			 parenteral" means a sedation permit enabling a dentist to administer, by
			 parenteral route, moderate sedation.
(1u) "Class III permit" means a sedation
			 permit enabling a dentist to administer moderate or deep sedation, or general
			 anesthesia.
(2g) "Continual" means
			 repeated regularly and frequently in a steady succession.
(2r) "Continuous" means prolonged without any
			 interruption at any time.
(3) "Deep
			 sedation" means a drug-induced depression of consciousness during which a
			 patient cannot be easily aroused but responds purposefully following repeated
			 or painful stimulation. The ability to independently maintain ventilatory
			 function may be impaired. A patient may require assistance in maintaining a
			 patent airway, and spontaneous ventilation may be inadequate. Cardiovascular
			 function is usually maintained.
(3m) "Enteral" means administration by which
			 the agent is absorbed through the gastrointestinal tract or through oral,
			 rectal, or sublingual mucosa.
(4)
			 "General anesthesia" means drug-induced loss of consciousness during which a
			 patient is not arousable, even by painful stimulation. The ability to
			 independently maintain ventilatory function is often impaired. A patient often
			 requires 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.
(4e) "Immediately
			 available" means physically located in the dental office or facility and ready
			 for immediate use or response.
(4m)
			 "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 stimulation
			 and verbal command. Although cognitive function and coordination may be
			 modestly impaired, ventilatory and cardiovascular functions are
			 unaffected.
(4s) "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. If more than one enteral drug is administered or if an
			 enteral drug is administered at a dosage that exceeds the maximum recommended
			 dose during a single appointment, such administration is considered moderate
			 sedation.
(6) "Nitrous oxide" means
			 a combination of nitrous oxide and oxygen.
(6g) "Parenteral" means administration by
			 which the drug bypasses the gastrointestinal tract through intramuscular,
			 intravenous, intranasal, submucosal, subcutaneous, or intraosseous
			 methods.
(6r) "Pediatric patient"
			 means a patient who is 12 years old and under.
(10) "Time-oriented anesthesia record" means
			 documentation at appropriate intervals of drugs, doses and physiologic data
			 obtained during patient monitoring.