EliteDOCS Forum

Sorry, but I don't have any experience with IV Benadryl, not do I know anyone who has. I don't know why anyone would use it as an IV sedative.  If the reason is that they're looking for an IV sedative to get around drug interactions, one could use IV Lorazepam, which has the advantage of being reversible, while diphenhydramine ...

Sedation is a form of anesthesia, as is the local anesthesia we use in dentistry to block sensation from the procedures we perform. I believe the issue was anesthesia, and the patient was inadequately anesthetized (sedated).  I respect your level of comfort with regard to the dosing amounts - you should never administer more medication than ...

Redheads do have a reputation for being hyporesponders when it comes to anesthesia.  In recent years this reputation has been supported by research (see article in Anesthesiology August, 2004).  Nothing I have read or experienced indicates they can't be anesthetized, but that they need larger and more frequent dosing.  Can you ...

One of the disadvantages of the popular versed/fentanyl IV sedation combo is the short duration of action, requiring "interruption" of dentistry as often as every 30 minutes to re-dose the patient.  Saying this, you can still use such a combination for  appointments that 3.5 hours - you will just be up and down more often ...

I don't dilute the lorazepam, but titrate into line running D5W in 0.5-1.0 mg increments to effect.  Unlike IV midazolam, you must titrate in 5 minute intervals. IV lorazepam must be refrigerated.  I just checked my vial and it is clear.  I don't ever recall a oil/vinegar look, but remember, IV lorazepam comes in a ...

Kevin, Thanks for the interesting case, and for doing your homework before presenting it.  It's also great to have a world-renown kidney specialist to lean on. My two cents on the case is this: You've received advanced training. You can manage the patient's airway.  In a sick patient, I want an IV in and in nearly every ...