Article 2.75 - Use of Deep Sedation and General Anesthesia - California Business and Professions Code

Sections (6)

Amended by Stats. 2024, Ch. 483, Sec. 12. (SB 1453) Effective January 1, 2025.

As used in this article, the following definitions apply:

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

(b)“General anesthesia” means a drug-induced loss of consciousness during which patients are not arousable, even by painful stimulation. The ability to independently maintain ventilatory function is often impaired. Patients often require 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.

(c)“Good standing” means the license or permit is active and unrestricted by disciplinary action taken pursuant to Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code, is not the subject of an unresolved complaint or review procedure, and is not the subject of any unresolved disciplinary proceeding.

§ 1646.1

Amended by Stats. 2024, Ch. 483, Sec. 13. (SB 1453) Effective January 1, 2025.

(a)A dentist shall possess an active dentist license or a permit under Section 1638 or 1640 issued by the board and an active general anesthesia permit in order to administer or order the administration of deep sedation or general anesthesia on an outpatient basis for dental patients.

(b)A dentist shall maintain current certification in Advanced Cardiac Life Support (ACLS).

(c)A dentist shall possess a pediatric endorsement of their general anesthesia permit to administer or order the administration of deep sedation or general anesthesia to patients under seven years of age.

(d)A dentist who administers or orders the administration

of general anesthesia or deep sedation shall be physically present in the treatment facility while the patient is under general anesthesia or deep sedation.

(e)For patients under 13 years of age, all of the following shall apply:

(1)The operating dentist and at least two additional personnel shall be present throughout the procedure involving deep sedation or general anesthesia.

(2)If the operating dentist is the permitted anesthesia provider, then both of the following shall apply:

(A)The operating dentist and at least one of the additional personnel shall maintain current certification in Pediatric Advanced Life Support (PALS) or other board-approved training in pediatric life support and airway management, adopted pursuant to Section 1601.8. The

additional personnel who is certified in Pediatric Advanced Life Support (PALS) and airway management or other board-approved training in pediatric life support and airway management shall be solely dedicated to monitoring the patient and shall be trained to read and respond to monitoring equipment including, but not limited to, pulse oximeter, cardiac monitor, blood pressure, pulse, capnograph, and respiration monitoring devices.

(B)The operating dentist shall be responsible for initiating and administering any necessary emergency response.

(3)If a dedicated permitted anesthesia provider is monitoring the patient and administering deep sedation or general anesthesia, both of the following shall apply:

(A)The anesthesia provider and the operating dentist, or one other trained personnel, shall be present throughout

the procedure and shall maintain current certification in Pediatric Advanced Life Support (PALS) and airway management or other board-approved training in pediatric life support and airway management, adopted pursuant to Section 1601.8.

(B)The anesthesia provider shall be responsible for initiating and administering any necessary emergency response and the operating dentist, or other trained and designated personnel, shall assist the anesthesia provider in emergency response.

(f)This article does not apply to the administration of local anesthesia, minimal sedation, or moderate sedation.

§ 1646.10

Added by Stats. 2018, Ch. 929, Sec. 4. (SB 501) Effective January 1, 2019. Operative January 1, 2022, pursuant to Section 1646.13

A general anesthesia permit shall expire on the date provided in Section 1715 that next occurs after its issuance, unless it is renewed as provided in this article.

§ 1646.11

Added by Stats. 2018, Ch. 929, Sec. 4. (SB 501) Effective January 1, 2019. Operative January 1, 2022, pursuant to Section 1646.13

A general anesthesia permitholder who has a permit that was issued before January 1, 2022, may follow the terms of that existing permit until it expires. Any permit issued or renewed pursuant to this article on or after January 1, 2022, shall require the permitholder to follow the new requirements of this article.

§ 1646.12

Added by Stats. 2024, Ch. 483, Sec. 17. (SB 1453) Effective January 1, 2025.

A pediatric endorsement shall expire on the date specified in Section 1715 that next occurs after its issuance, unless it is renewed as provided in this article.

§ 1646.13

Added by Stats. 2018, Ch. 929, Sec. 4. (SB 501) Effective January 1, 2019.

This article shall become operative on January 1, 2022.