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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.