Iowa Admin. Code r. 481-579.4 - [Effective 4/9/2025] Moderate sedation standards

(1) Moderate sedation for ASA I or II nonpediatric patients.

a. A dentist may prescribe or administer a single enteral drug in excess of the MRD on the day of treatment.

b. A dentist may prescribe or administer a combination of more than one enteral drug.

c. A dentist may administer nitrous oxide with more than one enteral drug.

d. A dentist may administer a medication for moderate sedation via the parenteral route in single or incremental doses.

e. A dentist may only administer drug(s) or techniques, or both, provided there is a margin of safety wide enough to render unintended loss of consciousness unlikely.

(2) Moderate sedation for ASA III, ASA IV or pediatric patients. A dentist who does not meet the requirements of 481-subparagraph 572.11(1)"b"(3) may not administer moderate sedation, deep sedation or general anesthesia to pediatric or ASA III or IV patients. The following constitute moderate sedation:

a. The use of one or more enteral drugs in combination with nitrous oxide.

b. The administration of any intravenous drug.

(3) A dentist may administer moderate sedation in a facility provided the following requirements are met:

a. Have at least one patient monitor observe the patient while the patient is under moderate sedation; and

b. Utilize capnography or a pretracheal/precordial stethoscope as stipulated below:

(1) Use capnography to monitor end-tidal carbon dioxide unless the use of capnography is precluded or invalidated by the nature of the patient, procedure or equipment.

(2) In cases where the use of capnography is precluded or invalidated for the reasons listed previously, a pretracheal or precordial stethoscope must be used to continually monitor the auscultation of breath sounds.

Notes

Iowa Admin. Code r. 481-579.4

Adopted by IAB March 5, 2025/Volume XLVII, Number 18, effective 4/9/2025