
Originally Posted by
Duck of Death
........You don't mess with IV sedation, but you administer oral sedation consisting of two different benzodiazepines and diphenhydramine. What do you base your dosage on?? Also, oral absorption is very variable, and first-pass metabolism through the liver must also be considered. This in mind, oral sedation is VERY unpredictable and results spray widely from great to unacceptable. IV sedation is much safer since it can be precisely titrated for the desired sedation effect and absorption and first-pass metabolism issues are eliminated. In addition, an IV line is IN PLACE should he need arise to reverse the drugs or administer other drugs for hypotension, bradycardia, or any other urgency. I would hope you have Romazicon (a specific benzo reversal agent) handy and have considered how you are going to administer it if over-sedation becomes an issue. Far from being more dangerous, IV sedation is in fact superior to oral sedation in every way.
No brag, just fact.