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Nitrous Oxide Sedation, 4th ed.

Do your patients expect it? Probably.

An ADA survey indicates that 56% of general dentists, 85% of oral surgeons, and nearly 90% of pediatric dentists are using it regularly. It has an impeccable safety record and has withstood the test of time longer than any other drug.

How Will It Help Your Patients?
Nitrous oxide/oxygen sedation relieves anxieties and relaxes patients while you do your job; it may even eliminate their memories of pain. Other advantages are rapid onset and complete recovery within 3 to 5 minutes. This nonallergenic gas can also be combined effectively with other sedation methods.

NOTE: This course offers anesthesia-related credit to Florida dentists and Nitrous Oxide credit in Virginia. Please specify when ordering.

Nitrous Oxide Sedation, 4th ed.

How to know what to order? If you would like to receive an electronic copy of the book and test then choose our PDF or eBook options! Does a friend already have the book or do you? Then just order a test that can be delivered either via email or mailed as a hard copy.  All tests can be taken online or via our mail option.

Nitrous Oxide Sedation, 4th ed.

Nitrous Oxide Sedation, 4th ed.
(book and test) Traditional Hardcopy

10 hours    $102.95

Nitrous Oxide Sedation, 4th ed.
(book and test) FL anesthesia permit

10 hours    $102.95

Nitrous Oxide Sedation, 4th ed.
(ebook and test) Online Only

10 hours     $97.95

Handbook of Nitrous Oxide and Oxygen Sedation
(book only)

Handbook of Nitrous Oxide and Oxygen Sedation
(ebook only)

Nitrous Oxide Sedation, 4th ed.
(test only)

10 hours    $36.00

Nitrous Oxide Sedation, 4th ed.
(test only) FL anesthesia permit

10 hours    $36.00

Last reviewed: November 1, 2014
Expires: November 1, 2017

Nitrous Oxide Sedation, 4th ed.

About the Authors

Morris Clark, DDS, FACD, is Professor and former Chairman of Oral and Maxillofacial Surgery and Director of Anesthesia, Department of Surgical Dentistry, School of Dentistry, University of Colorado Health Sciences Center, Denver, where he is also Professor of Surgery at the School of Medicine.

Dr. Clark, a fellow of several anesthesiology and dental societies, is the recipient of awards from dental, anesthesiology, and medical groups. He has taught and directed courses on nitrous oxide and pain control, lectured frequently on sedation of dental patients and clinical pharmacology, and has published more than 40 articles in professional journals. A consultant to the American Association for the Advancement of Anesthesia in Dentistry since 1979, he is considered an expert on the use of nitrous oxide.

Ann L. Brunick, RDH, MS, Chairperson, Department of Dental Hygiene, University of South Dakota, has extensive professional and academic accomplishments and an impressive list of publications. She is certified in nitrous oxide/oxygen sedation, local anesthesia, and nitrous oxide analgesia.

In addition to her academic activities, Professor Brunick has also developed clinical dental hygiene instruments now being marketed. She has published over 20 articles in professional journals and has offered continuing education courses for dental professionals, lectured on nitrous oxide/oxygen use at dental meetings, served as a professional consultant, and chaired national dental association committees and meetings.

Nitrous Oxide Sedation, 4th ed.

Course Objectives

When you complete this course, you will take a written or online test that measures your ability to identify:

  1. Amounts of oxygen and nitrous oxide used in N2O/O2 sedation.
  2. Ways in which N2O/O2 interacts with the body.
  3. Considerations for assessing patients prior to sedation.
  4. Safety concerns pertaining to the use and manufacture of N2O/O2.
  5. Properties and uses of N2O/O2 sedation that benefit patients.
  6. General practice measures that protect patients and health care workers.

Nitrous Oxide Sedation, 4th ed.

Table of Contents

When you complete this course, you will take a written or online test that measures your ability to identify:

  • Part I Introduction to Nitrous Oxide/Oxygen Sedation
    1  Guidelines for Best Practice
    2  History and Evolution of Nitrous Oxide/Oxygen Sedation
    3  Pain and Anxiety Management
    4  Desirable Characteristics of Nitrous Oxide/Oxygen Sedation
    5  Physical Properties and Pharmacokinetics of Nitrous Oxide
    6  Manufacturing and Distribution of Nitrous Oxide and Oxgen Gases
    7  Economic Benefits Associated with Nitrous Oxide/Oxygen Administration
  • Part II Anatomy, Physiology, and Administration
    8  Anatomy and Physiology of Respiration and Airway Management
    9  Nitrous Oxide and Its Interactions With the Body
    10  Patient Assessment
    11  Titration of Nitrous Oxide/Oxygen Gases
    12  Signs and Symptoms of Nitrous Oxide/Oxygen Sedation
    13  Technique for Nitrous Oxide/Oxygen Administration
    14  Recovery From Nitrous Oxide/Oxygen Sedation
    15  Multidisciplinary Application of Nitrous Oxide/Oxygen Sedation
    16  Clinical Application of Nitrous Oxide/Oxygen Sedation in Pediatrics
  • Part III Issues of Special Consideration
    17  Potential Biohazards for Health Personnel Associated With Chronic Exposure to Nitrous Oxide
    18  Nitrous Oxide Abuse Issues
    19  Ethical and Legal Concerns Regarding Nitrous Oxide Administration
    20  Commonly Asked Questions Regarding Nitrous Oxide/Oxygen Sedation
    21  Future Trends in Nitrous Oxide/Oxygen Sedation
  • Appendixes
    A  Manufacturers and Organizational Resources
    B  Percent of Nitrous Oxide/Oxygen Administered
    C  Nitrous Oxide/Oxygen Sedation Record
    D  Informed Consent for Nitrous Oxide/Oxygen Sedation
    E  Overview of Administration of Nitrous Oxide/Oxygen Sedation
  • Index

Nitrous Oxide Sedation, 4th ed.

From Chapter 1

Virtues of Nitrous Oxide

Nitrous oxide is notable because of its impeccable safety record, which has withstood the test of time longer than any other drug. For the patient, nitrous oxygen/oxygen sedation provides pain control and anxiety relief that is quickly and easily reversed. It is virtually completely eliminated from the body when its use is discontinued.

For the practitioner, the drug is easily titrated to the level required for the procedure while accommodating the patient's physiologic and psychologic needs. When used as a mild analgesic and sedative, nitrous oxide is administered with oxygen from safe, modern equipment that allows no more than 70% nitrous oxide and no less than 30% oxygen to be delivered at any time.

The patient is mildly sedated and responds to verbal commands. Protective defenses such as the cough and gag reflexes remain intact; clinical action and elimination are rapid. Recovery is complete within a short time.

Few side effects are associated with nitrous oxide, provided the operator uses updated equipment and an appropriate technique. Most often, patients' negative experiences with nitrous oxide have been caused by oversedation by the operator. To that end, this text will emphasize the titration aspect of the administration technique.

Nitrous oxide/oxygen sedation is still simple and safe to use. It may not provide the desired results for all practitioners, nor will it be an option for all patients; however, it continues to maintain its position for effective pain and anxiety management.

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