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Module

CON8002 : Clinical Practice of Intravenous and Inhalational Dental Sedation

  • Offered for Year: 2022/23
  • Module Leader(s): Professor Nick Girdler
  • Lecturer: Mrs Emily Johnson, Miss Jackie Allen, Mr Andrew Fletcher, Dr Katherine Wilson, Mrs Hannah Desai
  • Owning School: Dental Sciences
  • Teaching Location: Newcastle City Campus
Semesters
Semester 2 Credit Value: 10
Semester 3 Credit Value: 10
ECTS Credits: 10.0

Aims

The aim of this module is to provide a comprehensive practical understanding of clinical skills and techniques of intravenous and inhalational sedation, as applicable to current UK dental sedation practice.

Outline Of Syllabus

Principles of inhalational sedation with nitrous oxide/oxygen
Inhalational sedation as part of a behaviour management strategy
Indications and contraindications for inhalational sedation
Relative analgesia equipment and technique
Machines used for relative analgesia sedation: function, safety features, maintenance
Systemic hazards of chronic exposure to nitrous oxide gas
Guidelines for reducing exposure and scavenging of nitrous oxide
Patient preparation for relative analgesia sedation
Relative analgesia technique, signs of sedation, termination of sedation and discharge
Over-sedation and other complications of relative analgesia
Principles of intravenous benzodiazepine sedation
Role, indications and contraindications for intravenous sedation
Patient preparation for intravenous sedation
Intravenous sedation equipment and technique
Equipment for administration of parenteral sedation drugs
Venepuncture and venous cannulation technique
Drug titration, signs of sedation, determination of an end-point
Discharge of patients following sedation
Reversal of benzodiazepine sedation

Teaching Methods

Teaching Activities
Category Activity Number Length Student Hours Comment
Scheduled Learning And Teaching ActivitiesLecture101:0010:00Present in person: lectures/seminars
Guided Independent StudyAssessment preparation and completion342:0068:00Preparation for SCOTS & OSCE
Scheduled Learning And Teaching ActivitiesPractical12:002:00Present in person: clinical skills practical
Guided Independent StudyDirected research and reading302:0060:00Reading list on evidence-base for clinical techniques
Placement/Study AbroadClinical Training154:0060:00Present in person: clinical patient care
Total200:00
Teaching Rationale And Relationship

Lectures convey core information on sedation techniques, consolidated by directed reading of scientific publications and practical work. 1:1 supervised clinical attachments in intravenous and inhalational sedation will provide the opportunity to develop clinical skills using midazolam and nitrous oxide and operating on sedated patients.

Should the public health situation require a pivot to remote learning, then teaching and learning on study days will be delivered remotely with the exception of the practical which will provided present in person. Clinical training would take place present in person subject to NHS policy at the time.

Assessment Methods

The format of resits will be determined by the Board of Examiners

Exams
Description Length Semester When Set Percentage Comment
Observ of prof pract1003A100Present in person OSCE held once clinical training complete
Zero Weighted Pass/Fail Assessments
Description When Set Comment
Observ of prof practMA SCOT will be held towards the end of the clinical training, testing competency in providing sedation for 1 adult patient
Observ of prof practMA SCOT will be held towards the end of the clinical training, testing competency in providing sedation for 1 child patient
Formative Assessments
Description Semester When Set Comment
Portfolio2MCompletion of a Clinical portfolio of clinical cases managed during the clinical training
Assessment Rationale And Relationship

The OCSE examination will allow assessment of competency in sedation-specific clinical skills and practical techniques as well as in generic patient management skills. The two SCOT tests will enable an assessment of ability to manage an adult and child sedation case independently.

The formative Clinical Portfolio will be used as a record of developing skills, experience and reflective practice during the clinical training.

In order to pass this module candidates must achieve a mark of at least 50% in the exam and also pass both SCOT assessments.

Should the public health situation require a pivot to remote learning, then assessments will move to an on-line format.

Reading Lists

Timetable