Sedation and anesthesia record pdf. 5. , neuraxial) anesthesia. Open the anesthesia record pdf file on your computer or device. Use of Sedation and General Anesthesia in Dental Practice 6 Crescent Road Toronto, ON Canada M4W 1T1 T: 416. Keep up to date on sedation and GA news here Jump to: Documentation Standards & Guidelines Addenda Minimal and Moderate Sedation Services (non-hospital Sedation and anesthesia overview: Nondissociative sedation exists as a continuum, and the . SOC 2 Type II and PCI DSS certification: legal frameworks that are set to protect online user data and payment details. General anesthesia is a form of a temporary medically induced state of unconsciousness in which pain control and amnesia are induced This review discusses sedation for regional anaesthesia in the adult population. 5814 Toll Free: 800. 03 mL/kg (or 0. ) 6. Monitoring parameters 99 . Sedation and immobilization. 961. Periodontal (probing, scaling, root planing) – Sedation, raises pain threshold (analgesic effect) which may obviate the need for local anesthesia in the sensitive patient. Apply your e-signature to the page. has defined its series of progressive levels as minimal sedation, moderate sedation, deep sedation, and general anesthesia. •This self-learning packet is designed to communicate the current policy and standards with regards to Sedation/Analgesia. 45 Member. Lidocaine (Xylocaine) or Bupivacaine (Marcaine) they are injected directly into the body area involved in the surgery. No adverse event resulted in long-term sequelae. Immobilization 80 . Paperless anesthesia: uses and abuses of these data. 20-123b-4. Or click the button below. The chart is your legacy and the record of what happened many years after the occurrence of an incident. Involves injection of local anesthetic (numbing agent) directly into the surgical area to block pain sensations. ii. Numerically document anesthetic and sedation procedures with this comprehensive, easy to use form. This article explores the numerous functions of the anaesthetic record, and highlights the practice guidelines governing their suggested content. Anesthetic records document planned therapeutic actions that result in physiologic alteration. Local Anesthesia. Detailed Procedure a. Next, document the type of anesthesia used for the procedure. Advantages of nitrous oxide (N 2 O) include anxiolysis, mild analgesia, and amnesia. Individuals differ in their re-sponses to sedation and may require different levels of sedation for the same procedure. This form is a feasible method of permanently recording data, such as blood pressure, pulse, anesthetic agents, and their dosages. It also explains the benefits and risks of using sedation and what it might feel like. Anesthetic Induction and Intubation 83 Assisted ventilation 85 Anesthetic monitoring 96 Medical record documentation 96 . Dissociative sedation is considered separately due to its unique features and incompatibility with C. Definition of level of sedation6. 01 mL/kg for mild-moderate sedation or healthy geriatrics or pediatrics c) 0. Let's quickly go through them so that you can stay certain that your sedation anesthesia record pdf remains protected as you fill it out. If applicable, assign the appropriate qualifying circumstance code(s). Start by entering the basic details of the patient, such as their name, age, and breed. Medical imaging examinations require patients to remain motionless for varying lengths of time. In-hospital brachycephalic-specific sedation 76 . Record the start time and duration of the anesthetic sedation. Fill in the date and time of the anesthesia procedure in the designated fields. 10 Steps (cont. All Products. Although cognitive function and coordination may be impaired, ventilator and cardiovascular functions are unaffected. Anesthesia (not arousable) Behaviœ/respmsiveness to treatmalt* Excellalt: quiet and cocperative Good: mild objections Eafr: minimal distupüm to freatmalt PoŒ: sniggling that inta-fa-eclAMth cpa-atlvep-ocedures Prthibitive: activeresistanceand be raidered Discharge sigiS anesthesia record, sample sedation Created Date: 4/24/2011 12:35:53 PM All dentists that administer sedation or general anesthesia in a dental facility must maintain current sedation authorization. This is non-negotiable. Anesthesia Provider SYMBOLS VENT Tidal Volume Resp. Depending upon the type and location of your child's scheduled exam, they may receive either anesthesia Feb 15, 2021 · Anesthesia records. Five of these children experienced airway obstruction and two became apneic. 2005. Form #: OF517. Indication for sedation: q Fearful/anxious patient for whom basic behavior guidance techniques have not been successful q Patient unable to cooperate due to lack of psychological or emotional maturity and/or mental, physical, or medical disability q To protect patient’s developing psyche q To reduce patient’s medical risk The anesthesia record is the main document of the intraoperative course of anesthesia administration. 15 mL per 10 lbs) for surgical plane of anesthesia up to 40 minutes However, with our pre-built web templates, everything gets simpler. A current history and physical examination by the surgeon, anesthesia provider, or thetic record. The institu- A sedation record form is a document used in medical settings to document the administration of sedation to a patient. Methods of assessing the level of sedation are discussed with emphasis on clinical measures. Sedation is a sleep -like state where patients are generally unaware of surroundings but may still respond to external stimuli. Anesthesia and Sedation for Imaging. 02. $14. Oral and Maxillofacial Surgery Benchmarks. Authorizations to administer sedation expire annually on March 31 st. Download Adobe Reader ™. DHA Form 193, Dental Sedation Record . Anesthesia and Sedation Record (Graphing) Before, during, and after anesthesia and sedation, patient evaluation is essential. Note any pre-anesthetic medications given to the patient, including the drug name and dosage. Sign in to the editor with your credentials or click Create free account to evaluate the tool’s capabilities. Anaesth Intensive Care Med. 01. 8. Follow our simple actions to get your Patient: SEDATION AND ANESTHESIA RECORD well prepared quickly: sedation is “deep,” practitioners must have the skills to rescue from a state of “general anesthesia. It has been written by patients, patients’ representatives and The difference between sedation and general anesthesia is degrees of consciousness. This may include general anesthesia, local anesthesia, or regional anesthesia. . Current Revision Date: 07/1995. Paediatr Anaesth. Since the Pre-Sedation Instructions Post-Sedation Instructions Drug Register Facility Emergency Protocols 5 sedation/anesthesia records (this applies to re-inspections only) EQUIPMENT EQUIPMENT MAINTENANCE RECORDS Please provide the written record of the annual maintenance/ servicing or invoices (if purchased within the past year), on any 01. 2. Educational Requirements as required by those state laws, rules and/or Anesthesia and Sedation Record (Graphing) Before, during, and after anesthesia and sedation, patient evaluation is essential. The purpose of these guidelines is to assist dentists in the delivery of safe and effective sedation and anesthesia. Sign it in a few clicks. Perform a physical exam on the patient prior to anesthesia iv. That person should record in the medical record at minimum every five (5) minutes: Level of consciousness (0 = unconscious, 1 = sedate but responsive, 2 = alert) Assign the appropriate modifier to identify the anesthesia provider. Start by filling in the patient's basic information such as their name, age, and medical record number. General Anesthesia. Documentation in the sedation record read “it was decided by the entire dental and anesthesia team to terminate treatment for the patient’s safety. Download a copy of the Policy Statement (PDF). Definitions of levels of seda-tion–analgesia, as developed and adopted by the ASA, are given in table 1. 01 May 4, 2021 . How to fill out an anesthesia record template: 01. A secondary aim was to examine and describe patterns of sedation and anesthesia administration in infants with congenital heart disease over the first Excessive sedation (UMSS score > 2) Respiratory depression, airway obstruction Nausea, vomiting, gastric irritation Hyperactivity occurs in 1-2% of patients. The inspector shall be a member of Board staff and will receive training in recognizing the checklist requirements and in evaluating sedation/anesthesia Follow these quick steps to change the PDF Anesthesia Record online for free: Register and log in to your account. Examples of evidence to demonstrate compliance may include: Detailed curriculum plans. Search for another form. . These terms refer to the effects upon the central nervous system Nov 27, 2019 · The anesthesia record should include the patient’s level of consciousness, heart rate, blood pressure, oxygen saturation, and respiratory rate as first determined in the PACU. Record the type and dosage of any medications used in the anesthetic sedation. Dentists must comply with their state laws, rules and/or regulations when providing sedation and anesthesia and will only be subject to Section III. Calculate premedication drug doses (see sedation SOP) and propofol Sep 19, 2018 · You can also find our sitemap here. Sedation and anesthesia in The purpose of an anesthesia record PDF (Portable Document Format) is to document relevant information related to the administration and monitoring of anesthesia during a medical procedure. •Huntington Hospital policy goals support active communication of the Sedation/Analgesia process with the patient and other care providers to ensure patient safety. When completed, it creates a first-rate medical record, too. Refer to IACUC Policy Surgery and Anesthesia Recordkeeping, Mouse Surgical Record Template, Rat Surgical Record Template, Sample Mouse Surgical Record, and Apr 11, 2016 · Deep Sedation/Regional Blocks/General Anesthesia: must be performed by an anesthesia provider or LP with medical staff privileges to administer deep sedation, regional or general anesthesia in accordance with hospital policy and state scope of practice laws. It can be your best ally or your worst enemy. 3 . Authority or Regulation: PDF versions of forms use Adobe Reader ™ . Use the fast search and powerful cloud editor to generate a precise Sedation and Anesthesia Record. Assign the appropriate physical status modifier. 2 Guide the development and review of anaesthesia records to ensure they capture critical and relevant information. When you receive the encrypted email link, respond to the email attaching: The completed tier report form. TLDR. Expand. AAHA Product. Pre-operative Procedure i. This record provides anesthesiologists and other healthcare professionals with a detailed account of the management of anesthesia, medications used, vital The primary hypothesis was that greater exposure to sedation and anesthesia in infants undergoing cardiac surgery would be associated with lower neurodevelopmental scores at 18-month follow-up. ADA Policy Statement: The Use of Sedation and General Anesthesia by Dentists (2007). These recommendations apply to both manually created (handwritten) and electronic anesthesia information management system (AIMS) created anesthesia records. Simulation experience Sedation is a continuum from minimal sedation to general anaesthesia. Educational Requirements as required by those state laws, rules and/or isoflurane are needed for endotracheal intubation and anesthesia maintenance. Record the type of anesthetic sedation being performed. Guidelines for Teaching Pediatric Pain Control and Sedation to Dentists and Dental Students (2021). We apologize for any inconvenience. 7. Various medication regimens have been recommended to achieve satisfactory sedation for this painless procedure. The sedation or anesthesia record and the patient’s health questionnaire corresponding to the adverse event. Abstract. This updated, two-in-one form facilitates thorough assessments before—and close monitoring after—any anesthetic or sedation event. It typically includes information such as the patient's name, date, and time of sedation, type and dosage of sedative medication administered, monitoring parameters (such as blood pressure, heart rate, oxygen levels), any observed adverse reactions or complications, and the Nitrous oxide inhalation sedation (NOIS) has been the backbone of anxiety alleviation in dentistry for a long time. Edit your anesthesia record template excel online. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. patients receiving deep sedation, general anesthesia, or major conduction (i. In addition, patients may attain varying levels of sedation during a single pro-cedure. 2014 Feb;15(2):56-8. rcdso. General anesthesia provides complete relief from both anxiety and pain. S. Apply for and manage the VA benefits and services you’ve earned as a Veteran, Servicemember, or family member—like health care, disability, education, and more. 2%) and a decrease of the oxygen saturation to less than 90% in 63 (5. Record the patient's name, date of birth, and any other identifying information. SpO 2 RECOVERY NOTES: RECOVERY SUPERVISOR: Fit for Discharge Time: In the Company of: Name: Relationship: Phone #: Patient Left the Facility at: am/pm POST ANESTHESIA/SEDATION RECOVERY Jul 3, 2023 · Procedural sedation (PS), previously incorrectly referred to as 'conscious sedation,' refers to techniques, medications, and maneuvers performed to help a patient tolerate unpleasant or painful procedures, avoiding potential unwanted memories associated with such procedures. I n 1895, two second-year medical students at Harvard, Harvey Cushing and Scan a copy of the corresponding sedation or anesthesia record and the patient health questionnaire. 1. The duration of sedation was up to 60 min after IV administration of xylazine, detomidine, medetomidine and dexmedetomazine in goats in this study, and there were no significant differences among α2‐adrenergic agonist treatments at 5–60 min in sedation scores. Record keeping: is required for anesthesia/sedation procedures lasting longer than 15 minutes from the administration of the anesthetic/ sedative agent(s), and for any survival surgery. 6 Additional monitoring may be necessary as judged appropriate by the anaesthetist. The first section deals with general aspects of sedation and shows that the majority of patients receiving sedation for regional anaesthesia are satisfied and would choose it again. Submit immediately towards the recipient. Table 1. Sessler DI. To verify whether a dentist has the required sedation authorization, search the public register. Anesthesia and Sedation Record (Numerical) by Stephen Niño Cital RVT, SRA, RLAT, CVPP, VTS-LAM (Res. c. Definitions and abbreviations 83 . At the level of general anesthesia, the patient cannot be aroused by painful stimuli, and cardiovascular function may be impaired. 7 Minimum monitoring should be used during the transfer of anaesthetised patients. 129 (5) The requirements of Subsection (2) do not apply to the practice of inducing 130 minimal sedation. Please wait while you are being redirected. May 21, 2010 · procedures are in place to rescue patients whose level of sedation becomes deeper than initially intended, for example, patients who inadvertently enter a state of Deep Sedation/Analgesia when moderate sedation was intended. 03. 02 mL/kg for profound sedation with minor surgical stimulation d) 0. 4591 www. 1%) experienced adverse events including inadequate sedation in 150 (13. Quick steps to complete and e-sign Anesthesia record form online: Use Get Form or simply click on the template preview to open it in the editor. 565. Share your form with others. ” The ability to rescue means that practitioners must be able to recognize the various levels of sedation and have the skills necessary to provide appropriate cardiopulmonary support if needed. Moderate Sedation That person should record in the medical record at minimum every five (5) minutes: Procedures appropriate for procedural sedation include ANYTHING. Joint Commission . Often, due to age or medical conditions patients may require anesthesia or sedation in order to remain still. Download a copy of the Guidelines (PDF). 3 Provide guidance to all practitioners administering general anaesthesia, sedation, or regional blocks, in documenting and recording the episode. Patient charts. Type text, add images, blackout confidential details, add comments, highlights and more. Sedation: A Guide to Patient Management, 4th Edition. b) 0. References 1. sedation. Begin by entering the patient's information, including their name, date of birth, and medical record number, at the top of the template. This policy statement addresses the use of minimal, moderate and deep sedation and general anesthesia, as defined in the Association’s Guidelines for the Use of Sedation and General Anesthesia by Dentists. This assessment may not be delegated to a non-privileged individual. Start by entering the patient's personal information, such as their full name, date of birth, and medical record number, if applicable. Qualifications for conscious sedation permit. 8 Provision, maintenance, calibration and renewal of equipment are the responsibilities of the institu-tion in which anaesthesia is delivered. They are designed to teach initial competency in pain control and minimal and moderate sedation techniques. 5 Standards and Checklist Medical clearance should be recorded, if applicable. Include the date and time of the anesthesia procedure. 3. Surgical v14. b. On May 1, 2020, the ONC published the Cures Act Final Rule, which mandated that clinical notes must be shared with patients by November 2, 2020 (six months following the release of the Final Rule). Mosby. F Malamed, editor. Duration of effect. This is also not anesthesia. Onset of action. These Guidelines recognize that many dentists have acquired a high degree of competency in the use of anxiety and pain control techniques through a combination of instruction and experience. 6. Rate Peak Pressure 120 100 160 140 O 2 Saturation % O 2 Inspired Temp: ºC º F EKG End Tidal CO 2 Symbols for Remarks Position 40 20 PEEP 80 60 200 180 Unarousable Ventilator Oral/Nasal Airway Simple O 2 mask Unstable Mask Oxygen Foley Catheter LM A Nasal Recovery Notes Somnolent Intubated T Anesthesia and Sedation Record This updated, two-in-one form facilitates thorough assessments before—and close monitoring after—any anesthetic or sedation event. Anderson BJ, Merry AF. Click the New Document button above, then drag and drop the document to the Nov 1, 2016 · Veterinary medicine and science. Educational Requirements as required by those state laws, rules and/or Jan 21, 2023 · Record-keeping during the perioperative period by anaesthetists is a fundamental part of modern anaesthetic practice. May 4, 2021 · DHA-PI 6410. The advantages and disadvantages of an electronic record keeping system are also explored. It also has the ability to raise the patient pain threshold, providing rapid analgesia (RA), thus enhancing the action of any local anesthesia used. A sloppily completed anesthesia record bespeaks a sloppy anesthesia provider, even if that is Oct 15, 2014 · The purpose of these guidelines is to assist dentists in the delivery of safe and effective sedation and anesthesia. Dickinson P, Berrington J. 5%). Infants and children often require procedural sedation to maintain a motionless state to ensure high-quality imaging. The first emphasizes the distinction between ethical patient care and ethical human physiologic experimentation. Download the record or print your copy. ASA has witnessed a growing awareness of adverse events in dental office-based settings associated with sedation and/or anesthesia care – these events have May 3, 2024 · The record shall be of treatment for the highest level of sedation/anesthesia permit held by the permit holder, and will apply the Board rules in effect at the time the patient was treated. In some instances when the carious Of the 1140 children, 239 (20. See Sedation SOP for pre-medications and IV catheter SOP iii. Anesthetic record and pen IV. Designed by a board-certified veterinary anesthesiologist. Assign the appropriate modifier to identify the anesthesia provider. View Anesthesia and Sedation Record (Graphing) “Sedation and analgesia” comprise a continuum of states ranging from minimal sedation (anxiolysis) through general anesthesia. Use the Cross or Check marks in the top toolbar to select your answers in the list boxes. 3 General Standards for all Modalities of Sedation or Aug 17, 2011 · During the past decades, the use of CT to diagnose conditions and monitor treatment in the pediatric setting has increased. Edit your anesthesia record form pdf online. How to fill out veterinary anesthesia record template: 01. a. An applicant for a conscious sedation permit shall: (a) Comply with one of the following: (1) document by patient anesthesia or sedation records the completion of a mini-mum of twelve parenterally administered conscious sedation procedures per year Mar 22, 2024 · The cases must include: (i) at least three (3) live cases in which the permit holder is the primary sedation/anesthesia provider, or (ii) at least fifteen (15) cases involving pediatric patients sedated/anesthetized where no more than seven (7) cases are observed on live patients or high-fidelity sedation simulators, and at least eight (8 Oct 26, 2022 · ASA has a record of establishing guiding principles for the safe care of patients receiving sedation and/or anesthesia care in diverse clinical settings, including dental offices. Restorative (fillings, crown and bridge) – Sedation, pain control. Anaesthetic records. [1] Because the proper use of PS also aims to decrease the patient's perception of pain and is generally obtained through 126 (b) For making rules described in Subsection (4)(a), the division shall consult with the 127 applicable licensing boards and a board described in Sections 58-67-201, 58-68-201, and 58-128 69-201. Assign the appropriate modifier to identify MAC services, when appropriate. org CONTENTS Use of Sedation and General Anesthesia in Dental Practice . ” There was no additional information. 04. Start completing the fillable fields and carefully type in required information. Our state web-based blanks and simple guidelines remove human-prone errors. Although the authors of both commentaries approach the subject of sedation and general anesthesia from different points of view, their In-hospital sedation 75. Now, using a Patient: SEDATION AND ANESTHESIA RECORD requires not more than 5 minutes. Intended Level of Sedation: Minimal Moderate Deepest Level of Sedation Obtained: Minimal Moderate Deep General Anesthesia provider notes and anesthesia records are not excluded from these requirements. To administer deep sedation or general anesthesia, the dentist must demonstrate competency by having completed: a. 4-9. It is assumed that this has enabled these Aug 31, 2016 · The impressive morbidity and mortality statistics support the concept that the OMFS anesthesia team model is a safe, efficient, and cost‐effective model for office‐based ambulatory surgical In addition, it provides a lot of possibilities for smooth completion security smart. Next, document the date and time of the sedation procedure. Within 20- 30 minutes. While the incidence of adverse events In order to improve the quality of anesthesia care, an intra-operative record and data set must build on historical analysis, which will enable clinical leaders to determine preferred care practices. Huntington Hospital CBL. DHA Form 195, Informed Consent Sedation and Anesthesia . Documentation templates, intra-operative dose calculations, and automatic display of drug-drug interactions are illustrations of these potential The office anesthesia record. Some terminology around sedation is confusing and for clarity’s sake this document uses the American Society of Anesthesiologists’ (ASA)-defined levels of sedation (see Table 1). “Rescue” from a deeper level of sedation than intended requires an intervention by a practitioner with PS26(A) Position statement on informed consent for anaesthesia or sedation . 6555 F: 416. 4. Sedation explained This leaflet explains what sedation is, how it works and when you may need it. • Minimal sedation: a drug-induced state during which patients respond normally to verbal commands. [Patient] would be best treated in the [operating room] with an endotracheal tube. Eliminate the routine and make papers on the internet! Jan 4, 2021 · The patient health record should include the patient’s level of consciousness, heart rate, blood pressure, oxygen saturation, and respiratory rate as first determined in the PACU. The pharmacology of the drugs involved Verbal Post-Anesthesia Instructions Given: Y N Time BP Pulse Resp. An anesthesia record is helpful to private practitioners who use conscious sedation and general anesthesia. Jun 1, 2019 · Specifically, guidelines for the delivery of general anesthesia and monitored anesthesia care (sedation or analgesia), outside or within the operating room by anesthesiologists or other practitioners functioning within a department of anesthesiology, are addressed by policies developed by the ASA and by individual departments of anesthesiology sedation as anesthesia (71 FR 68690-1). This book, as described in its preface, is designed for the student of medicine or dentistry on a doctoral, postdoctoral, or continuing-education level. The safe sedation of children for procedures requires a systematic approach abstract that includes the following: no administration of sedating medication without the safety net of medical/dental supervision, careful presedation evaluation for underlying medical or surgical conditions that would place the child at increased risk from sedating medications, appropriate fasting for Emergency oxygen, drugs and equipment checked (All Alarms ON) prior to sedation Monitors: Pulse Oximeter Auto BP Cuff Manual BP Cuff Observation Other Pre-Op Vitals: BP HR SpO 2 RESP. 6. 2015 Dec;25(12):1184-92. Educational Requirements as required by those state laws, rules and/or The purpose of these guidelines is to assist dentists in the delivery of safe and effective sedation and anesthesia. Hangover, disorientation, delirium, ataxia, headaches, nightmares and hallucinations. 2 …In addition to general anesthesia/deep sedation, the residents must obtain extensive training and experience in all sedation techniques. While both sedation and general anesthesia are forms of anesthesia, and sedation is a component of general anesthesia, they are different in several respects 01. Standards and guidelines, forms and self-assessment packages All general dentists and certified specialists administering sedation and general anesthesia must adhere to the requirements outlined in BCCOHP’s relevant standards and guidelines. An advanced education program accredited by the Commission on Dental Accreditation that affords comprehensive and appropriate training necessary to administer and manage deep sedation or accomplish these treatments without the use of local anesthesia. DHA Form 196, Minimal Sedation Procedure Sheet Editor’s note: In Dionne’s commentary (“Raise the Bar for Safe Sedation, Not Barriers for Access to Care,” on page 133) and in this commentary, the authors discuss the latest guidelines for using and teaching sedation and general anesthesia by dentists. 2022. Add the Anesthesia Record for editing. Anesthesia) with the American Animal Hospital Association. Purpose. Select a category. Dentists must renew their authorization if they wish Sep 19, 2023 · Download a copy of the Guidelines (PDF). Withhold food from the animals for 12 hours prior to the procedure. Dec 29, 2022 · Sedation vs. Importantly, it tells you what you will need to plan for your care after sedation. Johnstone and Fleisher’s1 special article, “A 1966 Anesthetic of Robert D Dripps, MD,” published in this issue of Anesthesiology, highlights two important messages. e. Indicate the type of sedation used, whether it is conscious sedation, deep sedation, or general anesthesia. Click on Done to save the changes. Sep 5, 2023 · Treatment had to be discontinued in both cases. It provides the basic concepts needed to fully understand the drugs and techniques for all aspects of 01. 9. Additional interventions excluded from these guidelines include but are not limited to patient-controlled sedation/analgesia, sedatives administered before or during regional and cen-tral neuraxis anesthesia, premedication for general anes- Aug 17, 2017 · Title: Medical Record - Anesthesia. Sec. Deep Sedation or General Anesthesia 1. Stay AAHA compliant with this convenient Anesthesia and Sedation Record. l. Anesthetic depth 99 This toolkit summarizes the current state of post-sedation and/or anesthesia transportation options, identifies options when identifying a post-procedure “responsible adult”, suggests guidelines for patients with no social support, and shares VHA best practices within existing standards. To notify the VA of this broken link, please Contact the VA with the URL of the page you are trying to reach. These Guidelines specifically apply to levels of sedation corresponding to moderate sedation Sedation/Analgesia (MSA) A health care provider other than the person performing the procedure should monitor the patient at all times. bn re ha ma tv ak cv ka di zq