ICS 11.060.01 CCS C05 T/CHSA 003—2023 非麻醉医师实施口腔诊疗适度镇静/ 镇痛专 家共识 Expert consensus under mild- to-moderate sedation and analgesia in oral diagnosis and treatment by non -anesthesiologists 2023 - 05 - 19发布 2023 - 06 - 01实施 中华口腔医学会 发 布 中华口腔医学会 团 体 标 准 全国团体标准信息平台 T/CHSA 003 —2023 I 目 次 前言 ................................................................................ III 引言 ................................................................................. IV 1 范围 ............................................................................... 1 2 规范性引用文件 ..................................................................... 1 3 术语和定义 ......................................................................... 1 4 基本条件 ........................................................................... 2 人员配置及资质 ................................................................. 2 相关仪器 ....................................................................... 2 相关药品 ....................................................................... 2 诊疗区域设置 ................................................................... 3 医疗机构的资质 ................................................................. 3 5 镇静/镇痛适应证 .................................................................... 3 6 相对禁忌证 ......................................................................... 3 7 镇静/镇痛前评估 .................................................................... 3 病史回顾 ....................................................................... 3 体格检查 ....................................................................... 3 实验室及影像学检查 ............................................................. 3 8 镇静/镇痛前准备 .................................................................... 4 会诊 ........................................................................... 4 告知 ........................................................................... 4 9 知情同意 ........................................................................... 4 10 诊疗中生命体征监测 ................................................................ 4 意识水平监测 .................................................................. 4 通气及氧合监测 ................................................................ 4 血流动力学监测 ................................................................ 4 11 适度镇静 /镇痛实施方法 ............................................................. 5 口服给药 ...................................................................... 5 鼻黏膜给药 .................................................................... 6 肌肉注射给药 .................................................................. 6 吸入给药 ...................................................................... 6 静脉给药 ...................................................................... 6 联合给药 ...................................................................... 7 12 拮抗剂使用建议 .................................................................... 7 13 恢复期管理 ........................................................................ 7 镇静/镇痛后观察及离院标准 ..................................................... 7 全国团体标准信息平台 T/CHSA 003 —2023 II 注意事项 ...................................................................... 7 诊疗后随访 .................................................................... 8 14 镇静 /镇痛记录 ..................................................................... 8 15 常见并发症的预防及处理 ............................................................ 8 呼吸抑制 ...................................................................... 8 上呼吸道梗阻 .................................................................. 8 恶心呕吐 ...................................................................... 8 误吞误吸 ...................................................................... 8 低血压 ......................................................................