| Seq #114 | Friday, 10 March 2006 | |||||||
| 10:00 AM-12:00 PM Swan Hotel 6, Symposium | ||||||||
| [ADEA] Development of an Evidentiary Basis for the Use of Enteral Sedation and Training | ||||||||
Sponsored by: ADEA | ||||||||
| Description: The objective of this symposium is to develop a research agenda to document the relative efficacy and safety of the use of enteral sedation by dentists. Recent public and professional concern over the use of large and incrementally administered doses of benzodiazepines has re-awakened the controversy that has continued for decades on the use of anesthesia and sedation by dentists. The dearth of evidence in the form of well controlled clinical trials or adequate epidemiologic studies have hampered development of a consensus over safe practices, appropriate drugs and dose recommendations. These issues can be best resolved by development of a research agenda that encompasses pharmacologic studies as well as educational research to determine the components of adequate doctoral training and demonstration of competence. Four speakers will present viewpoints that reflect the dichotomy of opinion that influence training, clinical practice and safety and regulatory policies: a medical anesthesiologist who has conducted surveys of morbidity and mortality of outpatient sedation, a dental anesthesiologist and educator, an advocate of the safety of incrementally administered benzodiazepines, and a clinical investigator who will discuss the evidentiary basis for current clinical practices. The speakers will describe educational and clinical research that is needed to progress the practice of enteral sedation from a largely non-validated clinical practice based on patient needs to a safe and evidence-based clinical practice with a generally-accepted educational program for pre-doctoral education. Representatives of groups with alternative viewpoints will be invited to provide commentary on the research agenda and educational components suggested by the four speakers. A general discussion period will conclude the deliberations | ||||||||
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