Journal of Disability and Oral Health

cover art

Cover Date:
April 2002
Print ISSN:
1470-8558
Electronic ISSN:
1754-2758
Vol:
3
Issue:
1

The use of oral midazolam and metoclopramide as premedication prior to day stay general anaesthesia: an audit of premedication for adult patients with severe learning disabilities

Aim: To audit the use of oral midazolam and metoclopramide as a premedicant prior to the induction of general anaesthesia for uncooperative adult patients with special needs. Objectives: To demonstrate that such a premedicant regimen is effective, safe and carries no significant post-operative effects. Design: A hospital based clinical audit. Subjects: 40 subjects with special needs who were referred to the Birmingham Dental Hospital for dental treatment under general anaesthesia participated in the audit. Subjects were allocated to the test group (n=20) if it was felt that they would benefit from premedication prior to induction. Patients deemed not to require premedication (n=20) comprised the control group. Main Outcome measures: Successful induction of general anaesthesia, uneventful discharge, and minimal/ no post-operative problems. Results: All subjects successfully underwent dental treatment as day-case patients and were discharged later the same day. In the test group, the mean dose of premedicant was 16mg midazolam and 10mg metoclopramide. The mean time from sedation to induction of general anaesthesia was 33 minutes. The mean operation time was 58 minutes as compared to 60 minutes for the control group. The incidence of postoperative complications in the test group was low and at a similar level to the control group. Conclusions: Premedication of adult special needs patients with oral midazolam and metoclopramide to facilitate a smoother induction of general anaesthesia for dental treatment is safe and effective. This audit suggested that the premedicant does not prevent same-day discharge or have unwanted postoperative effects. Key words: Midazolam, metoclopramide, sedation, special needs, premedication

Article Price
£15.00
Institution Article Price
£15.00
Page Start
3
Page End
6
Authors
M J Shaw, J Watt, K Llewellyn, C J Butterworth

Articles from this issue

  • Title
  • Pg. Start
  • Pg. End

  1. Editorial - The Year of Special Care Dentistry?
  2. 2
  3. 2

  1. The use of oral midazolam and metoclopramide as premedication prior to day stay general anaesthesia: an audit of premedication for adult patients with severe learning disabilities
  2. 3
  3. 6

  1. Attention Deficit Hyperactivity Disorder: A review and guide for dental professionals
  2. 7
  3. 13

  1. Electrocardiographic findings and history of medical diseases in hospitalised dental patients
  2. 13
  3. 19

  1. Prion disease: implications for Special Care Dentistry
  2. 20
  3. 24

  1. Case Report – Delayed deciduous teeth exfoliation in a Down syndrome patient
  2. 25
  3. 26

  1. Certificate in Special Care Dental Nursing
  2. 27
  3. 29

  1. Guidelines for the oral care of patients who are dependent, dysphagic or critically ill
  2. 30
  3. 33

  1. BSDH News
  2. 34
  3. 47

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