Re-audit of the use of flumazenil following midazolam-induced conscious sedation.
Journal
BDJ open
ISSN: 2056-807X
Titre abrégé: BDJ Open
Pays: England
ID NLM: 101709456
Informations de publication
Date de publication:
04 Aug 2023
04 Aug 2023
Historique:
received:
31
03
2023
accepted:
14
07
2023
revised:
12
07
2023
medline:
5
8
2023
pubmed:
5
8
2023
entrez:
4
8
2023
Statut:
epublish
Résumé
Flumazenil is an antagonist drug of Benzodiazepam (BDZ) that has been used as a reversal agent of midazolam-induced conscious sedation (CS) in both emergency and elective procedures. For CS procedure, a high-quality record keeping and clinical justification prior to admission of flumazenil are recommended. Clinical Audit (CA) enables clinicians to evaluate the quality and standard of recorded clinical procedures. This re-audit investigated the reasons for the use of flumazenil and record keeping's quality with particular emphasis on CS. In this retrospective reaudit, the authors looked at the patients' records who had received dental care under CS in the Sedation and Special Care Department of (SSCD), United Kingdom from January to June 2022. Out of 665 patients who received midazolam-induced CS, 21 patients were administered IV Flumazenil. The commonest reason (9, 42.8%) was due to prolonged recovery. This re-audit highlighted the need for administrating flumazenil in certain patient groups, and/or circumstances (not emergency). The importance of maintaining high-quality record keeping is discussed.
Identifiants
pubmed: 37542050
doi: 10.1038/s41405-023-00163-7
pii: 10.1038/s41405-023-00163-7
pmc: PMC10403577
doi:
Types de publication
Journal Article
Langues
eng
Pagination
36Informations de copyright
© 2023. British Dental Association.
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