I do it once in a while- flumazenil to be specific- it works wonders.
I think it is a very good idea to try to reduce monitoring/nursing/ER time
by reversing sedation.
By the way, this possibility ( and safety) is one of the reasons that my
best choice and favorite sedative is midazolam.
Steven Szabo, M.D.
>From: jay pershad <[log in to unmask]>
>Reply-To: jay pershad <[log in to unmask]>
>To: Multiple recipients of list PED-EM-L <[log in to unmask]>
>Subject: Reversal agents
>Date: Tue, 8 Jun 1999 08:31:03 -0500
>Read an interesting abstract from the group in Boston using Naloxone for
>reversal of deep opiod sedation in the ED, on completion of the procedure.
>I liked the idea very much. Curious if folks are using naloxone &/or
>flumazenil to reverse sedation and hasten recovery after procedural
>sedation. It has the potential to be cost effective especially if
>monitoring time is reduced.
>I am eagerly awaiting the paper. In the interim, I was wondering if there
>are any problems or adverse effects in employing such a strategy.
>Thanks in advance
>Jay Pershad, MD
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