Reviews of our courses

My two sedation dental assistants, Dia and Gina, and I recently attended the 5-day course from One 2 One Anesthesia hosted by Dr. Ken Lee. Before the course began, I had several conversations with Dr. Lee regarding the course content. I was originally interested in learning remifentanil but learned at Dr. Lee’s hand, that this drug was no longer accepted by the ADA for mild to moderate sedations. He was also aware that remifentanil was not on my state boards accepted list. He assured me that despite this disappointment, we would learn much about airway and opiate options. We arrived and were immediately charged with managing airways prior to intubation. Learning the head-tilt/-chin lift was more difficult than I could have imagined and definitely requires live learning to grasp. The manikin simply does not require the muscle strength necessary to prepare one for such a moment. In addition, we learned the insertion of nasopharyngeal airways, oral pharyngeal airways and LMA’s. The dental assistants learned the NPA’s and OPA’s and by the second day were quite comfortable. I inserted more than 20 LMA’s and breathed for the patient using a bag valve mask and head-tilt/chin lift. I monitored my effectiveness by using ETC O2, O2 Saturation, Sinus Rhythm and Rate and Respiration Rate. By the end of the week I felt quite comfortable as well. We were all given a questionnaire on Wednesday afternoon and asked to return it on Thursday morning. By Thursday afternoon, our comments and Wish List were being addressed. We learned much about emergency drugs and when and how to use them under what situations. I was witness to several complications while there including; bradycardia, hypotension, vomiting as a result of false NPO report, as well as the administration of Atropine, Remifentanil, Sufentanil, Isoflurane, Sevoflurane. I learned appropriate use of Midazolam, Diazepam, Fentanyl, Meperidine, Hydromorphone, Ketorolac, and the NSAID’s and appropriate dilutions. Dr. Lee and his staff along with two rotating residents, Dr. B and Dr. George were friendly, knowledgeable and eager to teach. Training at this level, has better equipped me and my staff to provide effective mild to moderate sedation. It helped us to understand how to avoid deep sedation and the complications that may follow, and it provided invaluable airway management experience. After the course, I received several texts from Dr. Lee asking if I had any questions. A week in his office exposed us to a different type of practice, where everyone is either sedated or anesthetized. Needless to say, the experience was inspiring. We left with a new confidence, a new protocol and a new respect. The days flew by and we were fed well, we laughed, and we learned. They even shared their supply list and provided competitive suppliers. We now have additional California friends in Lisa, Lissette, Liz, Paloma, Yvette, Jenny, Chris and Tony and Dr. B and Dr. George and an accomplished resource in Dr. Lee. As JUST a general dentist providing IV sedation, I feel that I would be held to higher scrutiny than my specialist colleagues in the event of an unfortunate incident. Completion of this course not only demonstrates a commitment to the standard of care and but may also prevent me from ever having to face an unfortunate incident and its scrutiny. In short, both my patients and I are in a safer place. I plan to make this an annual refresher and could not recommend this course any more. Way, Way Over 5 Stars!!!!! – R. Terry Councill, D.D.S., F.I.C.O.I., F.A.G.D.
Cypress, Texas