Level 1 & 2 Enteral Sedation Renewal

This program is conducted as either a combination ONLINE and WEBCAST program using Webex meeting software or as a live in-class lecture in McKinney, Houston, or San Marcos, Texas.
Contact Dr. Canfield at 214-384-0796 to obtain access to the telecast and instructions
Teaching Methods Used: This course is conducted as a LIVE lecture program
Commercial Co-Sponsor Support: There is NOT a commercial co-sponsor for this program

Course Summary: This continuing education program satisfies Rule 110 by the Texas State Board of Dental Examiners, and other state dental boards, requiring that all practitioners, in order to keep their Enteral Sedation permit current, document successful completion of a continuing education course every two years. This course meets the requirements for Level 1 and Level 2 re-permits. Emergency preparation and management is extremely important in the safe management of a non-sedated and sedated patient. In-office preparation including required emergency practice sessions, medications and adjunctive equipment will be discussed. Airway management is extremely important so management during the procedure will be shown.
Course Fulfillment: This hybrid course is designed to satisfy sedation permit renewal requirements for states requiring up to 8 hours of anesthesia specific continuing education. It will provide 8 hours as a partial fulfillment for states requiring more than 8 hours (combination of live 4 hours and 4 hours online preparation). Online preparatory material (4 hours) will be sent prior to the program and need to be successfully completed prior to the live webcast. References and additional resources will be provided with the study modules. Reviewed/Updated July 31, 2026.
Teaching Methods Used: Live Lecture Program

Course Objectives:
At the completion of this program, the participant will be able to:
• Recognize and initiate early management of conditions that may result in cardiac arrest or complicate resuscitation outcome.
• Recognize unconscious/ pulseless situation and provide proper management
• Demonstrate proficiency in providing BLS care, including prioritizing chest compressions and integrating AED use.
• Manage cardiac arrest until return of spontaneous circulation, termination of resuscitation, or transfer of care.
• Identify and treat ischemic chest pain and expedite the care of patients with acute coronary syndromes
• Recognize other life-threatening clinical situations, such as stroke, and provide effective initial care and transfer to reduce disability and death.
• Demonstrate effective communication as a member of a resuscitation team and recognize the impact of team dynamics on overall team performance.
• Explain why the foundation of successful resuscitations includes both mastery of basic skills and effective team dynamics
• Describe the important elements of effective resuscitation team dynamics
• Describe the clinical situations in which the following airway adjuncts may be used for airway management: oropharyngeal airway, nasopharyngeal airway, bag-mask ventilation, advanced airway
• Recognize a patient who may be in Ventricular Fibrillation
• Perform defibrillation with minimal interruption of chest compressions
• Coordinate team functions while ensuring continuous high-quality CPR, defibrillation, and rhythm assessment
• Assign team functions and monitor CPR
• Discuss the circumstances when resuscitation should not be initiated
• Recall that survival from asystole is poor and that asystole may represent an agonal end-stage rhythm
• Recall the correct dosage and timing of administration for epinephrine in cardiac arrest
• Assign team member roles and monitor performance
• Discuss the differential diagnosis of life-threatening chest discomfort
• Recognize symptomatic bradycardia and recall its signs, symptoms, causes, and treatment
• Determine whether signs and symptoms are caused by bradycardia or by another condition
• Recognize need for cardioversion
• How to perform an initial patient assessment that can identify symptoms due to a stable tachycardia
• How to identify sinus tachycardia and understand that treatment involves identification of an underlying cause

Course Information:
Level 1 or 2 Renewal Course Credit: 8 Hours Lecture Credit (4 hours online; 4 hours webcast)
ACLS or PALS Level 2 Course Credit: 16 Lecture/Participation Hours
Level 1 or 2 Renewal Course Fee: $350 Dentists; $135 for each staff member (includes manual)
ACLS or PALS Level 2 Renewal Course Fee: $1,080 (one day)
McKinney Location: Springhill Suites, 2660 S Central Expy, McKinney, TX 75070, Phone: 469-678-5047
Houston Location: Hampton Inn and Suites I-10, 5820 Katy Freeway, Houston, TX 77007; 713-869-9211
San Marcos Location: Wingate by Wyndham, 108 IH 35 N., San Marcos, TX; 78666-6860; 512-754-6469
AGD Codes: 341 Anesthesia & Pain Control; 342 Conscious Sedation; 343 Oral Sedation
Target audience: Dentists and all dental healthcare staff members

Communication to Participants:
Participants will receive information by e- mail prior to the course regarding what is expected of them during the presentation and for the completion of basic program requirements. Dr. Canfield may also call the participant prior to the program to help them understand what is expected regarding completion.

Topics and What You will learn or discuss:
•Current State Board anesthesia issues
•Current pre-sedation checklist requirements
•Review of patient evaluation, systems and vital signs
•Patient work-up and preparation for sedation including medical considerations
•Sedation patient selection principles
•Physician consultation
•Pharmacology and use of common oral sedatives
•Techniques of oral sedation
•Pros and cons of various medicines
•Patient monitoring and documentation as required by individual state boards and prevailing standards of care
•Sedation emergency assessment and management
•Case reviews
•Open discussion of topics of concern