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ASA IV Sedation Contraindication — NDEB AFK MCQ

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EasyPain & Anxiety ControlASA IV Sedation ContraindicationNDEB AFK

Which of the following conditions would make a patient ineligible for conscious sedation in a dental office and require hospital-based management instead?

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Correct answer: C — ASA IV — severe systemic disease that is a constant threat to life (unstable angina, severe CHF)

ASA IV patients (severe systemic disease that is a constant threat to life — e.g., unstable angina, recent MI within 3 months, severe uncompensated CHF, end-stage renal disease, uncontrolled seizures) should NOT receive conscious sedation in a dental office. These patients require treatment in a hospital or surgical centre with full medical support (anaesthesiologist, advanced monitoring, crash cart, ICU access). ASA I-II patients can be safely sedated in a dental office. ASA III patients may be sedated in the office with appropriate modifications and medical consultation.

Reference: Malamed – Sedation: A Guide to Patient Management, 6th ed., 2018