Sounds like another scare story put about by Anaesthetists to prevent
ignorant A&E docs messing with "their drugs". I've only ever heard of
midazolam induced fits in the context of unwise usage in mixed OD's
[particularly if tricyclics involved] - which makes pharmacological sense.Or
perhaps the paranoia has taken a deep hold on me .......
Bill Bailey
A&E Chesterfield
----- Original Message -----
From: <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, October 16, 2001 2:13 PM
Subject: flumazenil........ continued
> I understand all of the stuff with differnet techniques of 'relocation'
etc etc
> etc, indeed I don't always use Midaz but that's not my question!
> Flumazenil is only indicated for reversal of Iatrogenic OD i.e you as a Dr
stop
> someone breathing. In fact I have been taught in many different centres
that
> even then you should just Bag them til they wake up. This is all because
of
> the fear of fits in 'reversal' of Concious Sedation.The fitting associated
with
> patients ODs is well documented and makes sense...BUT why in concious
sedation
> performed properly in a safe environment by competent staff? I am not
saying
> I do use it coz I don't... BUT Why don't I? (price aside!)
> Is this evidence based or consensus nonsense?
>
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