Introduction: Nitrous oxide/Oxygen Conscious Sedation Training for Health Professionals Training Course
Professor Mark Gillman a world authority (see brief CV, below) on this simple but effective
technique, trains doctors, dentist and registered nurses to us it for conscious sedation and
treating substance abuse. Satisfactory completion of the training entitles qualifiers 10
Continuing Professional Development Points, including 2 ethical.
Nitrous oxide sedation for minor surgery (codes: 8141/8143) and treating substance abuse
(codes: 0203/0204) have medical aid codes and are recognised by the Health Professionals
Council of South Africa.
Outline: Nitrous oxide/Oxygen Conscious Sedation Training for Health Professionals Training Course
An outline of the course follows:
A Practical Course on Nitrous Oxide/Oxygen Sedation
Part 1: Theoretical considerations (Contained on MICROSOFT POWERPOINTCD with 255
Slides with commentary provided to each participant)
Overview of Clinical Uses of Nitrous Oxide/Oxygen Sedation
Concept of Anxiety and Pain
Basic Physiology of Pain and the Endogenous Opioid System
Nitrous oxide interactions with the Endogenous opioid system and this relationship to Pain
and Anxiety Control
Methods of Pain & Anxiety Management and Nitrous Oxide/Oxygen Sedation
Differences between Nitrous Oxide/Oxygen Sedation and General Anaesthesia
Physical & Chemical Properties in relation to Nitrous Oxide/Oxygen Sedation
Clinical Respiratory Anatomy Physiology & Nitrous Oxide/Oxygen Sedation
Pharmacology of Nitrous Oxide/Oxygen Sedation
Practical Aspects of Nitrous Oxide/Oxygen Sedation
A. Patient Assessment
B. Importance of Titration
C. Monitoring Patient
D. Patient Involvement
E. Endpoint/Comfort Zone (Ethics of using correct concentration)
F. Terminating Administration
G. Patient Recovery
H. Customised Equipment (Safety, Pollution Control & Ethics)
Ethical considerations and aspects of Nitrous Oxide/Oxygen Sedation (1/2hr)
a. Ethical responsibilities.
b. Ethical prudent practice guidelines
c. Ethical practise building and profit aspects
Part 1 (Sexctions A and B) will be assessed by 20 questions for which a 75% pass rate must
be achieved to qualify for 8 CPD points by home study.
Part 2.Practical Training
Revision Lecture 30 minutes – highlighting important practical, ethical and theoretical
aspects (60 min)
Practical Demonstration of Nitrous Oxide/Oxygen Sedation Technique (with delegate
participation – duration 2-3 hours with emphasis on Ethical Aspects of using the technique
Questions on Nitrous Oxide/Oxygen Sedation
After successfully completing both parts of the course a delegate will be competent to
administer PAN for conscious sedation and will also qualify for 10 CPD points (8 from Part 1
and 2 from Part 2 with 2 Ethical CEU’s).
The practical training is usually done in Johannesburg for up to five delegates. Larger
numbers of delegates can be trained at any one of the main centres with direct access to daily
air flights to and from in Johannesburg
Biographical Sketch: Prof Mark A Gillman
Prof Mark Gillman is an internationally renowned scholar and brain researcher and has
lectured on conscious sedation with nitrous oxide to lay and scientific audiences locally and
internationally over 250 times. He has over 300 publications including 5 full-length books, and
a best-selling CD on the technique of conscious sedation with nitrous oxide. He has held a
number of senior academic appointments (e.g. Wits, Medunsa, Albert Einstein University
Medical School [New York], Panum Institute [Denmark] etc). As a scientific authority he has
been interviewed frequently for local and international print and electronic media including the
BBC. He has held editorial advisory appointments to many leading medical and scientific
journals including Lancet, BMJ, International Journal of Neuroscience, Biological Psychiatry
etc). He was (1982 -2013), CEO of the S.A. Brain Research Institute (SABRI).
Using conscious sedation with nitrous oxide at SABRI, he and colleagues discovered the new
principle of biology (Gaseous neurotransmission). They also uncovered endorphin links to
human sexual response, anorexia nervosa, Tourette syndrome and a treatment for substance
abuse with nitrous oxide sedation recognised by SADA, SAMA & HPCSA.
Recommended Prior Experience and Knowledge: Nitrous oxide/Oxygen Conscious Sedation Training for Health
Professionals Training Course
The course (Nitrous oxide/Oxygen Conscious Sedation Training for Health
Professionals Training Course) is designed for the following attendees:
Medical practitioners (dentists, doctors and other medical professionals)
For the Nitrous oxide/Oxygen Conscious Sedation Training for Health Professionals Training Course it is advisable that you have the following experience/knowledge:
Medical practitioners (dentists, doctors and other medical professionals)
Nitrous oxide/Oxygen Conscious Sedation Training by Prof Mark Gillman
1) A virtual text book is available which consists of 255 Microsoft PowerPoint slides
with commentary by Prof Gillman at a cost of R1150.00, plus R145 for courier
delivery in South Africa. The disc gives a good background to the theoretical
aspects of nitrous oxide/oxygen sedation technique and must be studied and the
MCQ passed before the practical training.
2) The CD is required for each and every participant attending the practical training.
3)Completion of the CPD questionnaire supplied with the disc with a pass of 75% or more
provides 8 (eight) CPD points including 1 (one) ethical.
4) Practical training is then done in Johannesburg at Professor Gillman’s Office. The
cost depends on the number of participants. A single participant is R5500 (Five
Thousand Five Hundred Rand) plus R2250 (Two Thousand Two Hundred Rand)
per each additional participants up to a maximum of 5 participants in total.
Prof Gillman also offers courses throughout South Africa provided there are
sufficient numbers of participants and the costs of travel are covered by the
Attendance at this course provides 2 (two) CPD points including 1 (one) ethical.
1. After receiving the CD, is there any other textbooks that are needed?
No, the CD is a Textbook. However, other textbooks are available that might be useful for
candidates who want other perspectives.
2. The tests, are the written and the practical both done in Johannesburg?
No. The test will accompany the Disc, unless there are more than one participant at a single
practical training session. If you are a sole participant you complete it and email a copy with
the answers marked and Prof Gillman will correct it. To get the 8 CPD points you need 75%
on the MCQ.
If there are more than one participants at a single practical training session, the CPD test will
be done in Johannesburg just prior to the practical training.
3. What about equipment, do we need that now?
Ideally yes. But if you don’t already have it, Prof Gillman recommends that you should get it
ASAP and certainly before undertaking the Practical so that you don’t forget the technique
and/or lose confidence in using it.
4. Does the course cover nitrous oxide and ketamine and propofol i.e. other forms of
Definitely NOT. It is only for Nitrous oxide/oxygen conscious sedation.
5. If I pass the CPD theoretical course with 75% and attend a practical session with Prof
Gillman will I be qualified to use the nitrous oxide/oxygen conscious sedation in my