• SAAD digest · Jan 2014

    Case Reports

    An unusual response to intravenous sedation: a case report.

    • Liège Lourenço-Matharu and Pritesh Raval.
    • SAAD Dig. 2014 Jan 1; 30: 12-5.

    AbstractMidazolam is a benzodiazepine commonly used for conscious sedation in dentistry.This paper reports a state of unconsciousness in a 14-year-old girl after administration of midazolam sedation for dental treatment, which was not reversible with flumazenil.The patient remained in an Intensive Care Unit for two days, unresponsive to any stimulus. A range of tests were inconclusive, but the diagnosis of an unusual reaction to midazolam was made. The patient fully recovered and was discharged from hospital after 6 days. A referral to a sleeping disorder clinic was made to investigate the patient's sleeping patterns.This paper highlights the importance of sedation being provided by an appropriately trained team.

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