Built by a practicing OMFS resident

When a patient is sedated,
there's no room for uncertainty.

SedationRef puts verified, weight-based dosing and emergency protocols at your fingertips — so the right answer is never a mental calculation away from a bad outcome.

Built by an OMFS resident at a Level I trauma center. Sourced from FDA labels, AAOMS ParCare 2024, AHA ACLS/PALS 2025.
✓ You're on the list. We'll reach out before launch.

Free during early access  ·  No spam  ·  Installs as a PWA — works offline in the procedure room

FDA labels · AAOMS · ASA · AHA
Clinically reviewed sourcing
Show-work dose transparency
Offline — no wifi or cell needed
Finally a reference that thinks the way I do mid-case — bolus, titrate, ceiling, all in one view. I don't reach for anything else.
Beta User
OMFS Resident, Academic Medical Center
5
IV sedation drugs — fully sourced to FDA label and current guidelines
The show-work calculations are what sold me. I can hand this to a resident and they understand exactly where every number comes from.
Beta User
Attending OMFS, Private Practice
The Problem

The tools most providers use weren't built for this moment.

In-office sedation is high-stakes and fast. When something starts going wrong, you don't have time to reconstruct an answer from memory or a general-purpose drug app.

You're doing mental math while managing a sedated patient

Weight-based dosing requires calculation. Every second spent computing is a second not spent watching the patient.

⚠ A dosing error under sedation is rarely recoverable in the office.

Generic drug apps weren't built for this setting

Wrong stock concentrations, missing elderly ceilings, no high-risk adjustments. Off-the-shelf tools introduce the gaps they claim to close.

⚠ Trusting the wrong reference is worse than having none.

When an emergency hits, memory fails

Laryngospasm, anaphylaxis, LAST — adrenaline degrades recall. You need a structured protocol, not a mental checklist built under stress.

⚠ The cases that go wrong are the ones nobody expected.
Emergency Protocols

Because the cases you prepare for
are the ones you survive.

Every critical in-office emergency — structured, weight-adjusted, one tap away. Not buried in a textbook.

Critical

Laryngospasm

Step-by-step from recognition to succinylcholine dosing — with your patient's weight pre-calculated.

Critical

Anaphylaxis

Epinephrine dose, route, timing, and biphasic reaction warning — sourced to AAOMS and AHA.

Critical

LAST & Intralipid

Local anesthetic systemic toxicity protocol with Intralipid dosing and ASRA hotline built in.

Serious

Respiratory Depression

Airway sequence, reversal agent dosing, re-sedation monitoring — the full picture at once.

14 emergency protocols total — cardiac arrest, MH, bronchospasm, seizure, aspiration, and more. Each one sourced to AHA ACLS 2025, AAOMS ParCare 2024, ASRA, and MHAUS. Weight-adjusted doses update automatically when you enter your patient.
Everything Else

Designed for the procedure room, not the ICU.

Every feature built around what you actually need when a patient is sedated in the chair.

Weight-based dosing

Enter age and weight, get instant mg and mL for every drug — step-by-step calculations shown alongside every value.

High-risk dose adjustments

Elderly (≥60), obese/OSA, ASA III–IV — ceilings automatically reduced. One toggle, every dose recalculates.

Bolus / Titrate / Ceiling

All three values shown simultaneously — mg and mL — exactly how clinicians think during an active case.

Local anesthetic calculator

Carpule limits by agent and patient weight, epinephrine tracking across multiple agents, and LAST risk reminders.

Works offline

Installable PWA. All dosing and protocols available without wifi or cell signal — right from your home screen.

Printable case summary

One page: all calculated doses, reversal agents, and emergency drug weights — in mg or mL mode for the chart.

In the Procedure Room

The answer is already there when you reach for it.

You've just started titrating. You want to know exactly how much mL is in that next increment — and what the ceiling is before you push it.

Scenario — Midazolam · 70 kg adult · Stock 1 mg/mL You opened the card. Bolus was 1–2.5 mg (1–2.5 mL). You're titrating 0.5–1 mg increments. The ceiling is 5 mg — FDA label — and the app tells you exactly when you're approaching it.
No conversion in your head — mg and mL side-by-side
Ceiling source labeled — FDA label vs. clinical rec, never ambiguous
Show calc reveals exact arithmetic — auditable at any time
SedationRef
In-Office Sedation Reference
Adult · 35 yr · 70 kg · BMI 24 · ASA II · Standard Risk
Midazolam (Versed)
Benzodiazepine  ·  Stock: 1 mg/mL
Adult
Initial Bolus
mg / mcg
1–2.5
flat dose
mL / cc
1–2.5
@ 1 mg/mL
Titrate
mg / mcg
0.5–1
q2–3 min
mL / cc
0.5–1
@ 1 mg/mL
Ceiling
mg / mcg
≤5 mg
FDA label
mL / cc
≤5.00 mL
5 mg ÷ 1 mg/mL
▾ show calc
Bolus: flat dose · FDA ceiling 5 mg
Bolus mL: 1 mg ÷ 1 mg/mL = 1.00 mL  |  2.5 mg ÷ 1 mg/mL = 2.50 mL
Titrate mL: 0.5 mg ÷ 1 mg/mL = 0.50 mL  |  1 mg ÷ 1 mg/mL = 1.00 mL
Ceiling mL: 5 mg ÷ 1 mg/mL = 5.00 mL (FDA label)
Clinical note Administer over ≥2 min. Wait ≥2 min before redosing. ASA III–IV or opioid co-admin: start 1 mg, reduce 30–50%. Elderly (age ≥60): ceiling ≤2 mg — clinical rec.
IV Dose
Local Anx
IV Meds
Emergency
E-Drugs
Reversal
Reference
Who It's For

Built for providers who manage their own sedation.

Purpose-built for the in-office sedation environment — not adapted from a hospital anesthesia tool.

Oral & Maxillofacial Surgeons
OMFS Residents
Oral Surgery Groups & DSOs
Dental Anesthesiologists
Anesthesiologists — Office-Based
CRNAs in Office Settings
Early Access

Get free access before we launch.

Early access is free. At launch, it won't be.

🔓 Free during early access
✓ You're on the list. We'll reach out before launch.

Early access is free. Pricing begins at launch.

For clinical reference only. Not a substitute for provider judgment, formal sedation training, or institutional protocols.