Conscious Sedation

Conscious sedation is a combination of medicines to help the patient to relax (a sedative) and to block pain (an anesthetic) during a medical or dental procedure. The patient will probably stay awake, but may not remember having the procedure.

We are prepared to travel with all the equipment needed for sedation to most areas in London, Essex, Bedfordshire, Hertfordshire, Suffolk, Norfolk and surrounding areas.

If one of your patient’s decides that they would like sonscious sedation, Our team will book them an appointment. SAF Medical will contact them for a telephone consultation before the appointment

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When is conscious sedation used?

Conscious sedation is commonly used for people who feel anxious or panicked about dental procedures. It is also used for a more pleasant experience of a complex procedure. It is a combination of medicines to help you relax, reduce anxiety, discomfort and pain during a medical or dental procedure.

You will receive the medicine through an intravenous line (IV in a vein) and will begin to feel relaxed and drowsy very quickly. Any negative emotions, stress or anxiety will gradually disappear.  You may fall asleep, but you will wake up easily to respond to people in the room. Afterwards you may experience some memory loss (amnesia)

Your doctor will stay with you at all times and will monitor your blood pressure, heart rate and breathing throughout the procedure.

 

How is conscious sedation different to general anaesthetic?

General anaesthetic (GA) has to be done in a hospital environment as you will be fully unconscious. With conscious sedation you will feel sleepy and relaxed, but you are never unconscious. As you will experience some memory loss, afterwards you may feel as though you were asleep. The recovery period of a GA is a lot longer.

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For Children

Some children are too anxious to face the dentist and might not be suitable for inhalation sedation, e.g. after an attempt at inhalation sedation has failed.

We can screen children who might be suitable for IV sedation and this would avoid an invasive procedure, like general anesthesia, for a minor procedure like an extraction/filling of a deciduous tooth.

Since 1999, general anesthesia may only be done in hospital settings, therefore in an operating theatre with an anesthetist who would have to intubate and ventilate the child.

IV sedation is less invasive than a general anaesthetic and the recovery is much quicker. We offer IV sedation for suitable children with a highly experienced and equipped team.

This service would include a telephone consultation with the parent and spending an hour with the nurse before the appointment to build a rapport and apply numbing cream.

We will also spend time with the child as they recover, following the procedure, before they can go home.

As IV paediatric sedations are more time consuming, and also require the presence of a nurse, the fees are slightly higher than for adults

We would be happy to answer any questions and provide a quote depending on the procedure needed.

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If one of your patient’s is interested in our mobile sedation service, please look at our calendar to book them an appointment. 

We are prepared to travel with all the equipment needed for sedation to most areas in London, Essex, Bedfordshire, Hertfordshire, Suffolk, Norfolk and surrounding areas.

Patient Information

For more information regarding pre-sedation information, post-sedation information or ‘A Patient Journey’, please check our patient section.

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Got a question?
No problem.

Patients who would like sedation are welcome to ask their doctor or dentist to contact us for more details.

Dentists, doctors or oral surgeons who wish to perform minor procedures under sedation are welcome to contact us for more details.

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Frequently Asked Questions

What procedures can be done with conscious sedation?

Any procedure can be done under conscious sedation:
• Dental: extractions, root canal treatment, implants, fillings, periodontal treatment and crown preparations.
• Non-dental: any minor or non-invasive procedure
The length of sedation is tailored to suit the length of appointment. This can be anything from one to eight hours.

Can any of my patients have sedation?

Patients who are healthy and have well controlled medical conditions e.g. diabetes, hypertension, and asthma are suitable for sedation (ASA I and II).
Patients with significant or uncontrolled conditions e.g. severe heart disease, morbid obesity need to be assessed on a case-by-case basis.
Please contact us if you are unsure or in unusual cases and we will advise appropriately.

Will my patients be asleep?

No, but they might think they were. With conscious sedation the patient is able to communicate through out the procedure but afterwards they will have amnesia.

Will my patients remember anything?

Although it is possible to remember following a conscious sedation, advanced sedation involves administration of analgesia and amnesics, which prevents patients having any unpleasant memories.

How safe is conscious sedation?

Conscious sedation is completely safe. Dr Swart has done over 20,000 sedations and there has never been an incident following sedation.

Why is multi-drug sedation better than Midazolam only?

Midazolam-only sedations do not provide any analgesia. Having a multi-drug sedation with an opiate based drug and/or Propofol and/or Ketamine means injections in the mouth and other procedures are almost painless for the patient. The patient will have a better quality of conscious sedation and the use of Propofol means a much quicker recovery time.

Will the patients be sick after sedation?

No, this is very rare. It is very unlikely that the patient will feel sick after the sedation, but by starving the patient four hours prior to the sedation it will make this even less likely.

Do we need to buy any extra equipment or sedation drugs?

The new CQC requirements state practices offering sedation will need two oxygen cylinders and an AED.
Dr Swart will bring all the rest: monitoring equipment, drugs and emergency drugs.

How much do you charge for conscious sedation?

Charges are per hour and vary depending on duration and distance. We are happy to send an instant quote upon request. It is advisable to add 15 minutes to the treatment time for recovery time when calculating the appointment time. Recovery could be longer with procedures longer than four hours.

How will payments be processed?

The patient has the option to pay SAF Medical directly or they can pay you and then payment can be made by the surgery to the SAF Medical Ltd bank account.

How much experience has Dr Swart in conscious sedation?

Dr Swart has 10 years experience doing sedations on over 20,000 people.

What qualifications does Dr Swart have?

Dr Swart gained his medical degree from the University of Stellenbosch in South Africa in December 2000. He is registered with GMC, Society for the Advancement of Anaesthesia in Dentistry (SAAD), a member of the Society of Paediatric Sedation (SPS), and a council member of the Association of Dental Anaesthetics (ADA). He has also been a lecturer on the UCL post-graduate sedation diploma for dentists.

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Our Clients Absolutely Adore Us

10 out of 10 from start to finish. Would definitely recommend this to anybody and will definitely do the same without any hesitation

Mr G NBrickstables - (August-2020)

Professional sedation great experience. Thankyou.

Ms J MAdvance Dental Clinic-( March-2020)

11/10 for Dr Swart, Very professional, friendly and i didn't feel a thing 🙂

Ms CWinning Smiles, Romford (January 2020)