Paul Bailey <[log in to unmask]>typed
> I use maybe 1+1 of midaz and 50-100mcg of fentanyl depending on the patient.
> You want them awake enough to be co-operative / move around etc, but sedated
> enough to be 'chilled'. All of this stemmed from a particularly difficult
> LP I had to do as a medical registrar on a very scared 18 year old girl.
Hmmm... 'Hard cases make bad law'...
I accept some patients will benefit from sedation for LP.
I doubt that all need it.
An 18G Venflon without local anaesthetic hurts MUCH more IME.
Maybe my LP went well; I was co-operative but NOT thin.
--
Helen D. Vecht: [log in to unmask]
Edgware.
|