Journal of Disability and Oral Health

cover art

Cover Date:
March 2015
Print ISSN:
1470-8558
Vol:
16
Issue:
1

The use of flumazenil for adults with learning disabilities undergoing conscious sedation with midazolam for dental treatment: a multicentre prospective audit

Doi: 10.4483/JDOH_Lewis05

The use of flumazenil for adults with learning disabilities undergoing conscious sedation with midazolam for dental treatment: a multicentre prospective audit
DA Lewis, LJ Wray, MK Sherborne, C Frolander, J Shill, K Dalley, S Bell, D Wong

Abstract
Objective: This prospective audit was undertaken to determine the level of use of flumazenil and the reason for its administration following conscious sedation with midazolam for dental treatment. The patient group under investigation were People with a Learning Disability (PWLD) undergoing conscious sedation for dental treatment. Method: A regional sedation group used a standardised data collection form to collect prospective data about the use of flumazenil for PWLD. Data were collected on the level of sedation, operating conditions, speed of recovery, and the level of learning disability. Results: During the twenty month audit period, 325 episodes of sedation of PWLD were undertaken. Flumazenil was used on 71 occasions. The main reasons that flumazenil was administered were delayed recovery and patients attempting to leave the surgery before adequately recovered. At no time was flumazenil used for a medical emergency nor were there any adverse events. Conclusion: The use of flumazenil following sedation for PWLD appeared to be higher than reported levels in the unaffected peer group. Its use within this group of patients was deemed justifiable on the grounds of safety during recovery for these patients with limited cognitive function. No medical emergencies were recorded during this audit.

Key words: Prospective audit, conscious sedation, delayed recovery, clinical network

Article Price
£15.00
Institution Article Price
£
Page Start
33
Page End
37
Authors
DA Lewis, LJ Wray, MK Sherborne, C Frolander, J Shill, K Dalley, S Bell, D Wong

Articles from this issue

  • Title
  • Pg. Start
  • Pg. End

  1. Editorial
  2. 2
  3. 3

  1. Perceptions of UK secondary care adult dental conscious sedation clinics: a qualitative analysis
  2. 5
  3. 11

  1. Dental caries and oral hygiene status in children with physical disability attending various special schools in Udaipur, India
  2. 12
  3. 18

  1. Barriers to dental care for patients with congenital bleeding disorders
  2. 19
  3. 24

  1. A multi-disciplinary, multi-centre audit of access to and satisfaction with dental services for patients with Congenital Bleeding Disorders (CBDs)
  2. 25
  3. 32

  1. The use of flumazenil for adults with learning disabilities undergoing conscious sedation with midazolam for dental treatment: a multicentre prospective audit
  2. 33
  3. 37

  1. Diary Dates
  2. 40
  3. 0

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