Built by an OMS resident

The right dose,before you need it.

IV sedation dosing, local anesthetic limits and 22 emergency protocols — calculated for the patient in your chair, in mg and mL.

Free during early accessWorks offlineNo spam
mg + mLEvery dose, for your stock concentrations
22Emergency protocols, dosed to your patient
OfflineInstalls to your phone — no signal needed
1 pagePrinted case summary for the room
Every case

Open it before every sedation — not just when something goes wrong.

Enter age, weight, height and ASA class once. Everything else updates for that patient.

1

Before the case

Bolus, titrate and ceiling for midazolam, propofol, ketamine, fentanyl and dexmedetomidine. Pediatric, elderly, obese and ASA III–IV adjustments apply automatically.

SedationRef Pt Meds tab showing midazolam bolus, titrate and ceiling for an 82 kg adult
2

Local anesthetic

The binding maximum for each agent in mg, mL and carpules — with the epinephrine-limited cardiac dose right underneath.

SedationRef local anesthetic calculator showing the maximum lidocaine with epinephrine dose
3

If it goes wrong

Step-by-step protocols with the doses for this patient already worked out. Large-text mode for reading across the room.

SedationRef laryngospasm protocol with numbered steps
Emergency protocols

The cases nobody expects, worked out in advance.

Stress makes recall unreliable. Each protocol is a numbered sequence, and every drug dose is calculated for the patient you entered.

Airway

  • Laryngospasm
  • Bronchospasm
  • Respiratory depression / apnea
  • Aspiration
  • Airway obstruction

Cardiac arrest

  • Adult arrest (ACLS)
  • Pediatric arrest (PALS)

Systemic

  • Anaphylaxis
  • Malignant hyperthermia
  • LAST
  • Methemoglobinemia

Sedation-related

  • Hypotension
  • Symptomatic bradycardia
  • Tachycardia / SVT
  • Emergence delirium

Cardiovascular

  • Acute chest pain / ACS
  • Hypertensive crisis
  • Adrenal crisis

Neuro / metabolic

  • Seizure
  • Stroke / TIA
  • Hypoglycemia
  • Vasovagal syncope
Every protocol starts the same way: when in doubt, call 911. Hotlines for MH and LAST are built in.
Printed case summary

One page in the room.

Print before the case and keep it beside the monitor — no phone needed mid-procedure.

  • Sedation, reversal and emergency drugs calculated for this patient.
  • mg/mcg or mL mode, using your office's stock concentrations.
  • Rescue airway sizes — OPA, NPA, mask, LMA, ETT and blade.
  • Emergency actions for 8 critical events, with the MH and LAST hotlines.
SedationRef one-page printed case summary for an 82 kg adult
Sources

One clear source hierarchy.

Office anesthesia has its own standard, so it comes first. Other references fill the gaps it leaves.

1
AAOMS Office Anesthesia Evaluation Manual, 10th ed. (2026)Primary source for drugs, doses, monitoring and emergency management
Primary
2
FDA prescribing labelsDose ranges, ceilings and pediatric age limits
Labels
3
AHA ACLS & AHA/AAP PALS 2025Adult and pediatric cardiac arrest and arrhythmia algorithms
Resuscitation
4
ASRA LAST guidanceLocal anesthetic systemic toxicity and lipid emulsion
LAST
5
Malamed — Local Anesthesia & Medical Emergencies, 7th ed.Carpule math, vasoconstrictor limits, dental-specific detail
Dental

Every clinical change is logged with the source behind it.

Built for providers who run their own sedation

Oral & maxillofacial surgeonsOMS residentsDental anesthesiologistsOffice-based CRNAs

A reference, not a record

Patient details stay on your device — nothing you enter is sent or saved. There's no cumulative dose tracking, because your anesthesia record is the record.

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