This is a one-hour course on anatomy and physiology as it relates to children and dental sedation, instructed by Dr. Leslie Fang.
Sedation dentistry methodology and protocols for children are very different than for adults, depending on a thorough appreciation and understanding of the anatomical, physiologic, and pharmacologic differences between the varying ages and rates of growth. This course focuses on children 6 years to puberty (12-13 years old), with a look at the anatomy and physiology of this age group, tracing the journey of Midazolam and how it affects different parts of the body.
- Learn why it’s important to minimize transit time through the stomach
- Discover how fatty food affect transit through the stomach, and why it’s important to keep the child NPO after midnight
Hepatic & Renal
- Learn the differences between child and adult liver physiology and function
- Understand the role of the liver in the metabolism of drugs
- See how sedation drugs travel from the intestines to the liver
- Understand the function of the kidneys in sedation
- Learn what normal blood pressure for kids looks, pulse rate and cardiac function and how to monitor each during sedation
- Take a look at heart anatomy: normal and abnormal
- Understand the body’s electrical system
- Recognize normal sinus rhythm vs. atrial fibrillation
- Find out how to pick up on anomalies and congenital heart defects, including obstruction of flow or abnormal flow; heart blocks; arrhythmias
Central Nervous System
- Study the blood-brain barrier, the site of active transport of drugs and how Midazolam interacts with anatomical and physiological barriers
- Review the parts of the brain and sedation
- Understand the reticular activating system (RAS) functions and process
- Understand GABA receptors and benzodiazepines
- Learn why this is the most important system related to sedation
- Discover the anatomy of the human airway
- Find out the major causes of cardiopulmonary emergencies and how to avoid them
- Learn what drives the central process hypercapnic drive and the peripheral hypoxemic receptors
- Learn about monitoring respiration, measuring partial pressure of oxygen
Scientific support and additional resources are available here.
Purchase of this course grants access for one year and requires an internet connection, computer with video and audio capabilities, and in some cases, Adobe Reader to view handouts and articles.