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- Sep 13, 2003
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For those of you who offer IV sedation (versed/fentanyl) for theraputic procedures, does anyone allow versed during diagnostic procedures (MBB, discograms, SNRB, etc.)?
gorback be careful with early discharges w/ fent and versed... i had 2 episodes of patients passing out in the parking garage completely sedated!!!
in Q&A review it seems like a possible explanation that not all the dose got to the patient upon administration, and that somebody flushed the IV before pulling it and the rest of the meds got in right before IV got yanked and patient got sent home...
plus the other issue with sedation is the crazy goof ball patient who brings his 96 year old mother as the "escort" (she can't drive) and then unbeknownst to us (and despite signing paperwork confirming that he can't drive for 6 hours after the procedure), drives and gets in a wreck - get a DWI, and then sues the hospital/pain dept for not reinforcing the no-driving policy...
How about PO/Im Ativan 15-30 min prior to procedure? I had my eyes Lasik'd with 0.5mg of Ativan. being that said, I cannot imagine my chronic pain patients agreeing to po ativan for a simple MBB. Nonetheless I have given patients IM Ativan/valium for shoulder dislocation reductions in baseball players, contruction guys......amazing.