Action | Sedation and anesthesia permits for dentists |
Stage | Emergency/NOIRA |
Comment Period | Ended on 11/7/2012 |
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Dear Board Members and others:
I have practiced Oral Conscious Sedation in Virginia since 2003. I have performed over 500 cases without incident. The new regulations address several issues that were necessary such as permitting which is great.
But there are two serious problems with the new regulations:
(1) ECG monitoring is required for mild to moderate oral sedation. This is Overkill for mild to moderate oral conscious sedation. It is needed for deep sedation. There needs to be some verbage that differentiates the two. The intended level of sedation for oral sedation does not have any adverse effect on cardiac function. If anything, it has a positive impact.
(2) The dentist cannot leave the operatory during mild to moderate oral conscious sedation. This is also overkill. My staff is trained to stay with the patient at all times, while constantly monitoring them. This is all that is necessary for mild to moderate sedation.
Two other issues that I think need to be considered are:
Please reconsider the new regulations, specifically in regards to the points above. The citizens of Virginia will be the ones hurt the most if these changes go into effect.
Sincerely,
Brad Spano, DDS