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Conscious Sedation Record Form
Snoring
Class 4: Severe systemic disease that
is a constant threat to
life
Class 5: Moribund patient who is not
expected to survive with or
without the operation
E: Emergency
Previous Anesthesia
Type: Spinal, Epidural Block, Local, General
Airway Class:
I
II
III
IV
Family Hx.: Problems / No problems
Pre
Post
D/C
Activity:
Sedation risks, benefits and alternatives discussed and patient/family
agrees to proceed.
Patient reassessed and remains a candidate for moderate sedation
per my...
Show details
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