Intravenous sedation is inappropriate in most minor procedures

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Oral midazolam for conscious sedation of children during minor procedures.

OBJECTIVE To compare the safety and efficacy of two doses of oral midazolam, and to assess the drug induced amnesia obtained, when used for conscious sedation of children undergoing minor procedures in the accident and emergency (A&E) setting. METHODS A two stage trial was completed: an initial prospective, double blinded, randomised trial comparing 0.2 mg/kg midazolam suspension with 0.5 mg/...

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Intravenous sedation vs general anesthesia for pediatric otolaryngology procedures.

OBJECTIVE To compare efficacy, safety, and hospital charges for common pediatric otolaryngology procedures with the use of intravenous sedation (IVS) vs general anesthesia (GA). DESIGN Retrospective chart study. SETTING Hospital-based pediatric otolaryngology practice. PATIENTS Patients younger than 18 years who underwent tympanostomy tube removal and/or patch myringoplasty with absorbabl...

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Procedural sedation in paediatric minor procedures: a prospective audit on ketamine use in the emergency department.

OBJECTIVES To further evaluate the safety profile and efficacy of intramuscular ketamine for procedural sedation during paediatric minor procedures in the emergency department and to ascertain parental satisfaction with the treatment of their children. METHODS A prospective audit of ketamine use in a UK district general hospital involving 89 children requiring minor procedures. Children recei...

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Complications associated with intravenous midazolam and fentanyl sedation in patients undergoing minor oral surgery

BACKGROUND Anxiety control remains an important concern in dental practice. We evaluated the incidence, nature, and sequelae of complications during and after minor oral surgeries performed under intravenous midazolam and fentanyl sedation using the titration technique. METHODS The medical records of patients who had undergone minor oral surgeries under moderate intravenous midazolam and fent...

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Assessment of Alteration in Capnometry Monitoring during Intravenous Sedation with Midazolam for Oral Surgical Procedures.

INTRODUCTION Capnography is routinely used for monitoring of patients subjected to sedation for different surgical procedures. There is still paucity of data highlighting the capnographic assessment of patients on midazolam sedation undergoing oral surgical procedures. Hence, we planned the present study to assess the alterations occurring in the end-tidal carbon dioxide (ETCO2) values monitore...

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ژورنال

عنوان ژورنال: BMJ

سال: 1995

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.310.6983.872b