What is sedation? Pharmacy magazine

What is sedation?

The "sleeping syringe" enables a twilight sleep even during less pleasant examinations such as gastrointestinal mirroring

Syringe, tablet, infusion: Sedative active ingredients come in a wide variety of dosage forms

The pain threshold of the individual can be very different. While some prefer one every time they visit the dentist "sleeping syringe" others would get fillings and wisdom teeth pulled without batting an eyelid.

But what is it with the syringe that makes you tired and makes you forget pain?

If doctors from one "sedation" speak, they mean that the patient is drowsy and a little dazed with medication. His nervous system no longer works as normal, the ability to react decreases.

Various active substances are possible, one of the most common is midazolam. Patients receive these substances, for example, as a syringe, infusion or tablet – depending on the procedure for which sedation is necessary, how quickly and for how long they should work. The result is a kind of twilight sleep. How strongly the active ingredients make themselves felt depends on the dosage and can vary greatly from person to person. Some are responsive and answer questions, but hardly feel any pain. Others sleep soundly. Depending on the medication, it may also be the case that a patient, even though he spoke clearly to the doctors during the examination, no longer has any memories of it.

What are the side effects of sedation??

Your doctor should discuss with you in advance which side effects may occur. Because the effects and side effects vary slightly depending on the agent used. What they all have in common is that they feel light-headed and tired – more or less long after the examination. For this reason, for example, you are considered to be incapable of business during this period and may not drive a vehicle for around 24 hours after sedation, depending on the means used. If you are planning an outpatient procedure in twilight sleep, it is best to ask someone to accompany him and then bring him home.

The drugs also hinder nerve function. This can lead to protective reflexes such as the cough reflex being slowed down or deactivated if swallowed. In rare cases, breathing can also be impaired during the procedure, so that oxygenation or even ventilation is necessary.

When is sedation possible??

Sedation can help make uncomfortable examinations or procedures easier to bear and relieve the patient of fear and pain. Sedation is used in a wide variety of situations: at the dentist, it is offered in particular to very anxious people, it is used very often for gastrointestinal reflections, and it can be useful for MRI examinations, for example, in children and people with claustrophobia (claustrophobia) Afford. Many are also familiar with the soothing pill before surgery.

Who pays the costs?

Whether a patient has to pay for sedation himself or not depends on why dusk sleep is necessary. For dental treatments, for example, the costs are usually borne entirely or at least in part. On the other hand, health insurance companies usually pay for gastrointestinal mirroring and also if sedation is absolutely necessary for medical reasons. If the examiner or therapist does not carry out the sedation himself, but an anesthetist comes in for it, it can look different. Who should cover the costs should therefore be clarified in advance in individual cases.

You have to be sober for sedation?

How long you should not eat or drink before and after a procedure should always be discussed with the doctor. As a rule of thumb, nothing should be eaten six hours before dusk. However, patients can still drink clear fluids up to two hours before sedation.

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Christina Cherry
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