Texas Register

TITLE 22 EXAMINING BOARDS
PART 5STATE BOARD OF DENTAL EXAMINERS
CHAPTER 110SEDATION AND ANESTHESIA
RULE §110.10Use of General Anesthetic Agents
ISSUE 08/16/2013
ACTION Final/Adopted
Preamble Texas Admin Code Rule

(a)No dentist shall administer or employ the general anesthetic agent(s) listed in subsection (b) of this section, which has a narrow margin for maintaining consciousness, unless the dentist possesses a valid Level 4 - General Anesthesia or Deep Sedation permit issued by the Board.

(b)The following drugs are general anesthesia agents with a narrow margin for maintaining consciousness and must only be used by a dentist holding a Level 4 - General Anesthesia or Deep Sedation permit:

  (1)short acting barbiturates including, but not limited to thiopental, sodium methohexital, and thiamylal;

  (2)short acting analogues of fentanyl including, but not limited to remifentanil, alfentanil, and sufentanil;

  (3)alkylphenols including precursors or derivatives, which includes, but not limited to propofol and fospropofol;

  (4)etomidate;

  (5)dissociative anesthetics - ketamine;

  (6)volatile inhalation anesthetics including, but not limited to sevoflurane, desflurane and isoflurane; and

  (7)similarly acting drugs or quantity of agent(s), or technique(s), or any combination thereof that would likely render a patient deeply sedated, generally anesthetized or otherwise not meeting the conditions of the definition of moderate sedation as stated in §110.1 of this chapter (relating to Definitions).

(c)No permit holder shall have more than one person under general anesthesia at the same time exclusive of recovery.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on August 5, 2013

TRD-201303212

Julie Hildebrand

Executive Director

Texas State Board of Dental Examiners

Effective date: August 25, 2013

Proposal publication date: May 24, 2013

For further information, please call: (512) 475-0989



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