The concentration range is where dental TCI sedation gets honest about itself.
Any anesthesiologist running propofol TCI in a dental operatory knows the theoretical pharmacokinetics. What they often lack is a case-by-case record of what concentration range they actually operated in — not the target ceiling, but the effective working window for that patient, in that chair, with that dentist's pace. The gap between your highest concentration and your lowest concentration across a case is one of the clearest indicators of how controlled the sedation actually was.
What the Pump Doesn't Tell You Later
The TCI pump tracks concentration in real time. It does not archive a clean per-patient summary you can pull up six months later. When you need to review why a patient with a BMI of 31 and a smoking history required a ceiling of 3.4 µg/mL while a similar profile the following week plateaued at 2.6 µg/mL, the pump offers nothing useful. You need a record you built yourself.
This template was designed by an anesthesiologist (Fan, Kuo Tung) working in Taiwan, and it reflects that clinical reality. The Highest conc. and Lowest conc. fields are not decorative — they define the effective propofol window for each patient. Across a database of 50 or 100 cases, those two fields let you build a personal pharmacokinetic reference that no published Marsh or Schnider table can replicate for your specific patient population, your specific dentist's working tempo, and your specific clinic setup.
The TCI model field matters more than it appears. The Marsh model and the Schnider model produce meaningfully different Ce targets for the same desired clinical endpoint. Tracking which model you ran for each case — especially when you're covering multiple dental sites with different pump configurations — prevents the kind of retrospective confusion where you can't determine why one case required an unexpectedly high total dose.
Recovery Kinetics as Clinical Currency
The dual recovery endpoints are what separates a sedation log from an anesthetic record. Eye open-time and Sit up-time are recorded as absolute clock times, not intervals. That means you need to calculate the delta yourself, but it also means you can cross-reference against End-time to establish how many minutes elapsed from stopping the infusion to eye opening, and from eye opening to sitting upright.
A patient who opens eyes at 14:32 but cannot sit upright until 14:51 after a case that ended at 14:28 tells a different pharmacodynamic story than one who achieves both endpoints within four minutes. That 19-minute gap may be a BMI effect, a midazolam premedication residual, or the combined burden of a high total dose — and you won't know unless you're recording Total dose (mg) alongside the recovery timestamps in the same record.
The Add drug-1 and Add drug-2 fields exist precisely for that documentation. Fentanyl boluses, midazolam, ketamine adjuncts — any co-administered agent that affects recovery kinetics gets its own field rather than being buried in a notes paragraph that you won't meaningfully query later.
The Satisfaction Matrix Nobody Uses Properly
Dual 0–5 satisfaction scoring — patient and dentist independently — produces a 2D outcome matrix that most sedation providers reduce to a single narrative note. That's a missed opportunity.
A case scoring Pt. Sat. 5 / Dentist Sat. 3 is categorically different from one scoring Pt. Sat. 3 / Dentist Sat. 5. The first suggests patient comfort was achieved but the sedation level interfered with operative access — possibly over-sedated, with the patient cooperative but airway management consuming attention. The second suggests the dentist worked efficiently but the patient's subjective experience was suboptimal, which in dental sedation often points to inadequate anxiolysis relative to procedural awareness.
When you've logged 40 cases with LA OAA/S (the sedation score at local anesthetic injection, the highest-stimulus moment), End OAA/S, and both satisfaction scores, you can identify your personal correlation between what the OAA/S scale recorded and what the patient actually reported. That calibration has more practical value than any published benchmark.
The Clinic location and Dentist name fields add the final dimension. TCI dental sedation is almost always a satellite service — the anesthesiologist travels to multiple dental clinics. Performance patterns that look patient-dependent often turn out to be procedure-pace dependent, and procedure pace is dentist-dependent. A dentist who works in 45-minute windows produces a different concentration profile than one who needs 90 minutes for the same extraction.
Your total dose per case, plotted against dentist and clinic over time, is the data that eventually tells you whether your current TCI protocol is optimized for each site or whether you're running the same settings everywhere and absorbing the variance as unexplained case-to-case variability.