Wisconsin Administrative Code
Dentistry Examining Board
Chapter DE 11 - Anesthesia
Section DE 11.02 - Definitions

(1g) "ASA" means American Society of Anesthesiologists.

(1s) "Class I permit" means a sedation permit issued prior to September 1, 2020. This permit is no longer valid.

(1t) "Class II permit - enteral" means a sedation permit enabling a dentist to administer, by enteral route, moderate sedation.

(1tm) "Class II permit - parenteral" means a sedation permit enabling a dentist to administer, by parenteral route, moderate sedation.

(1u) "Class III permit" means a sedation permit enabling a dentist to administer moderate or deep sedation, or general anesthesia.

(2g) "Continual" means repeated regularly and frequently in a steady succession.

(2r) "Continuous" means prolonged without any interruption at any time.

(3) "Deep sedation" means a drug-induced depression of consciousness during which a patient cannot be easily aroused but responds purposefully following repeated or painful stimulation. The ability to independently maintain ventilatory function may be impaired. A patient may require assistance in maintaining a patent airway, and spontaneous ventilation may be inadequate. Cardiovascular function is usually maintained.

(3m) "Enteral" means administration by which the agent is absorbed through the gastrointestinal tract or through oral, rectal, or sublingual mucosa.

(4) "General anesthesia" means drug-induced loss of consciousness during which a patient is not arousable, even by painful stimulation. The ability to independently maintain ventilatory function is often impaired. A patient often requires assistance in maintaining a patent airway, and positive pressure ventilation may be required because of depressed spontaneous ventilation or drug-induced depression of neuromuscular function. Cardiovascular function may be impaired.

(4e) "Immediately available" means physically located in the dental office or facility and ready for immediate use or response.

(4m) "Minimal sedation" means a minimally depressed level of consciousness, produced by a pharmacological method that retains the patient's ability to independently and continuously maintain an airway and respond normally to tactile stimulation and verbal command. Although cognitive function and coordination may be modestly impaired, ventilatory and cardiovascular functions are unaffected.

(4s) "Moderate sedation" means a drug-induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation. No interventions are required to maintain a patent airway, and spontaneous ventilation is adequate. Cardiovascular function is usually maintained. If more than one enteral drug is administered or if an enteral drug is administered at a dosage that exceeds the maximum recommended dose during a single appointment, such administration is considered moderate sedation.

(6) "Nitrous oxide" means a combination of nitrous oxide and oxygen.

(6g) "Parenteral" means administration by which the drug bypasses the gastrointestinal tract through intramuscular, intravenous, intranasal, submucosal, subcutaneous, or intraosseous methods.

(6r) "Pediatric patient" means a patient who is 12 years old and under.

(10) "Time-oriented anesthesia record" means documentation at appropriate intervals of drugs, doses and physiologic data obtained during patient monitoring.