Clinical Conscious Sedation Management System
Starlight Dental Practice
System v1.6.0 (08d9fd8)
👤
Patient Sedation Session
Pre-op Check, Real-time Vitals & Charting
Record full patient admission, ASA risk status, expanded clinical team, cannula / inhalation delivery, live telemetry, and post-op discharge criteria.
Auto-saves to secure local SQLite database
🩺
Preoperative Assessment
Airway, Paediatric Centiles & IOSN Kiosk
Formal pre-sedation clinical assessment, automated BMI & paediatric centiles, Mallampati airway evaluation, tablet MDAS anxiety kiosk, and Index of Sedation Need (IOSN).
Clinical Standard: Includes 5-question patient anxiety scale, UK-1990 centiles, & Index of Sedation Need.
📋
Team Logbook & Clinical Audit
IACSD (2020) & Royal College Portfolios
Clinical governance register for dentists, sedationists, and dental nurses. Filter by staff member, training period, or sedative agent.
Total Cases
—
Reversals
—
Includes PDF Sign-off & Excel / CSV Exports
⚙️
Practice & Team Settings
GDC / NMC Staff Roster & Hardware
Manage practice name, registered clinicians, nurses, GDC/NMC registration numbers, and Edan iM50 telemetry connection settings.
Active Clinical Staff: — members enrolled
Configure practice name for all PDF audits
👤 Patient Details
👥 Clinical Sedation Team
Supervised Clinical Training Case
Record formal mentor / supervisor and trainee details (IACSD Logbook compliance)
Registry:
✅ Pre-operative Safety Checklist
Medical history confirmed & updated
Allergies, regular medications, past medical history reviewed
Written informed consent confirmed
Consent form signed and patient understands risks & benefits
Emergency equipment & drugs checked
Oxygen delivery, suction, flumazenil, defibrillator verified operational
🚗 Responsible Escort
💉 Sedation Agent & Cannula
Aseptic Non-Touch Technique (ANTT) used
🏷️ Prepared Medications & Consumables
📊 Baseline Observations
* Mandatory (IACSD)
Snapshot vitals from monitor before starting session.
💓 Live Observations
Connecting…
SpO₂
—
%
Pulse Rate
—
bpm
Blood Pressure
—/—
mmHg
EtCO₂
—
mmHg
Resp Rate
—
br/min
Session Elapsed: 00:00
⏱️ Clinical Case Milestones & Timeline
Titration: —
Surgery: —
Sedation: —
Total: —
1. Sedation Start
Auto on 1st dose
First drug bolus or N₂O flow
2. Procedure Start
LA / Surgery
Operating commencement
3. Procedure End
Sutures / Pack
Surgical work finished
4. Sedation End
Cessation
Drug stop / 100% O₂ flush
5. Discharge
IACSD Exit
Criteria met & escort present
📈 Intraoperative Observations & Clinical Timeline
Audit & Trend Logbook
Primary monitoring & alarms via Edan iM50 bedside monitor • Click any data point to annotate
No observations logged yet. As readings are captured, the dual-pane trend chart and timeline will display here.
💉 Drug Administration — Midazolam
Total: 0.0 mg
| Time | Dose | Cumulative | Action |
|---|---|---|---|
| No doses recorded yet. | |||
💨 Supplemental Oxygen
| Time | Event | Delivery Device | Action |
|---|---|---|---|
| No supplemental O₂ logged. | |||
🧠 Sedation Depth & Operating Conditions
| Time | Wilson Scale | Ellis Score |
|---|---|---|
| No assessments logged. | ||
📝 Procedure & Clinical Notes
🩺 Sedation Outcome & Complications
✓ Uneventful
💉 Flumazenil Reversal Administration
Not Administered
Administer Flumazenil?
GABA_A receptor antagonist (Midazolam / Remimazolam)
🏥 IACSD 2020 Discharge Checklist
📊 Discharge Observations vs Baseline
* Mandatory (IACSD)
Snapshot vitals prior to discharging patient.
🚗 Discharge Handover & Instructions
Written & verbal post-operative instructions provided
Care sheet given to patient and responsible escort
Responsible adult escort present for discharge
Escort: —
💊 Final Dose & Technique Verification
🧠 Clinical Reflection & Learning Points (CPD / Revalidation)
✍️ Clinician Sign-off & Signature
📝 Clinical Addenda & Audit Trail
No addenda appended to this record.
📄 Sedation Session Complete Summary