Key result
Intravenous sedation using midazolam and propofol is considered the most suitable method during regional anaesthesia, requiring administration by trained practitioners with appropriate monitoring.
Intravenous sedation with agents like midazolam and propofol is widely used during regional anaesthesia but requires appropriate monitoring and administration by trained practitioners.
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Supports midazolam-propofol sedation in regional anaesthesia by trained staff; leaves open need for prospective trials on outcomes.
Patient management is a vital component of regional anaesthesia, and the appropriate method and level of sedation must be chosen for each patient on an individual basis. This may range from simple distraction through pharmacologically induced anxiolysis or hypnosis, to light general anaesthesia by the inhalational or intravenous routes. Intravenous sedation is most widely used and suitable agents include the benzodiazepines, the intravenous induction agents and the opioids. Currently, midazolam and propofol are considered to be the most suitable drugs. Patient safety must never be compromised and pharmacological sedation must be administered by a trained practitioner, with appropriate patient monitoring and provision of supplementary oxygen.
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N. Mackenzie (1996) conducted a review in Regional anaesthesia. Sedation was evaluated. Intravenous sedation using midazolam and propofol is considered the most suitable method during regional anaesthesia, requiring administration by trained practitioners with appropriate monitoring.
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