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March 14, 2026Orthopedic Reviews0 citationsOpen Access

Perioperative Use of Benzodiazepines in Orthopedic Surgery: A Brief Narrative Review

ANAnvinh NguyenJDJ. Peter DonnellyTLTommy Li

Key Points

  • The review aims to explore the evolving role of benzodiazepines in orthopedic surgery, focusing on their pharmacology and clinical applications.
  • Narrative review of benzodiazepines used in orthopedic anesthesia
  • Discussion of pharmacology and mechanisms of action
  • Overview of clinical indications and contraindications
  • Examination of key clinical studies related to surgical practice
  • Benzodiazepines are commonly used for anxiolysis, sedation, and seizure prophylaxis in orthopedic surgery.
  • The role of benzodiazepines is changing with advancements in regional anesthesia and outpatient procedures.
  • Enhanced recovery after surgery (ERAS) pathways are influencing their application and dosage in the operating room.

Abstract

Benzodiazepines are frequently administered in orthopedic anesthesia for anxiolysis, sedation, amnesia, and seizure prophylaxis. Their role continues to evolve with the growing use of regional anesthesia, outpatient joint procedures, and enhanced recovery after surgery (ERAS) pathways. This narrative review examines the pharmacology, mechanisms of action, clinical indications, contraindications, and key clinical studies of benzodiazepines commonly used in the operating room in the United States, with a specific focus on their application in orthopedic surgical practice.

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Cite This Study

Nguyen et al. (2026) studied this question.

synapsesocial.com/papers/69b4fbb1b39f7826a300c0f2https://doi.org/10.52965/001c.158573
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