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youngmc27

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Now that Chloral Hydrate has been discontinued by the manufacturer. I was just wondering what those of you that do Oral Conscious sedation's either in your office or at your residency programs are using for your meds. Any alternatives that you have found successful besides just a straight Versed.I had been using the triple cocktail and a change will now be needed. Any help would be greatly appreciated.
 

Pulpoutofhere

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We've never used Chloral Hydrate in our residency program, primarily because it does not have a reversal agent, some of our hospitals would not allow it, and the faculty who trained on it thought it was garbage. However, we've achieved great results with Demerol/Hydroxyzine, Demerol/Phenergan, Valium (w/ nitrous of course), Versed, Ativan and Demerol/Hydroxyzine/Valium triple cocktail. We also use Ketamine in the ED on occasion. We average about 900 sedations/year and have never had a problem with any of our drug regimens.
 
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mem00

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I am a pediatric dentist and would love more information about this triple medication sedation regimen. I have currently been using this technique for the past 7 years with great success and am presenting my data for a CE course. I would like to give more examples of schools using this regimen. I was trained in the east with Chloral Hydrate, but learned of this sedation techniques from some colleagues in San Antonio. Can you tell more about how you use this cocktail? There is little data available on this.
 
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