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OMFS Board Exam Review #7 - IV Sedation Assessment, ASA Classes, Anesthesia Meds, Aldrete Criteria

Author
Brendan Gallagher, DDS
Published
Mon 18 Aug 2025
Episode Link
https://podcasters.spotify.com/pod/show/doctorgallagher/episodes/OMFS-Board-Exam-Review-7---IV-Sedation-Assessment--ASA-Classes--Anesthesia-Meds--Aldrete-Criteria-e370r0a

Top 5 Topics:

- ASA Classifications Simplified – understanding anesthesia risk 🩺

- Life-Saving Monitors – why every beep and wire matters πŸ“Š

- Midazolam & Fentanyl Dosing Errors – the fine line between safe and scary πŸ’‰

- Respiratory Depression in Sedation – how to recognize & act fast 🫁

- Safe Discharge After Surgery – Aldrete criteria explained βœ…


*** These are live recordings of my review sessions for the oral OMFS boards that I’ll be taking in January 2025 - I can get answers and concepts wrong! Please comment, DM me, or text me with any corrections, additions, or your own board prep tips on these topics so we can learn from my mistakes. ***


- Wanna sponsor these episodes? Let me know in my LinkedIn DM or Instagram DM.


Questions & Topics:

00:00 – Introduction to anesthesia risk assessment & ASA classifications

02:34 – Minimum monitoring requirements for IV sedation

05:04 – Initial dosing of midazolam in an ASA II adult

07:25 – How to manage desaturation (SpOβ‚‚ dropping to 88%)

10:30 – The most common complication of IV sedation

12:47 – Fentanyl dosing & most worrisome side effect

15:12 – Responding to opioid-induced respiratory depression (naloxone use)

17:47 – Post-op monitoring & Aldrete discharge criteria

20:37 – Drug interactions: ACE inhibitors & sedation risks

23:04 – Propofol dosing, complications, and managing hypotension


Now available on:

- Dr. Gallagher’s Podcast & YouTube Channel


My watch in this episode = Jack Mason Avigator


- 8.2025


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