Oral Sedation Cocktail

[runfastnow]

Hey guys/gals - what are your favorite cocktails for oral sedation for in office procedures? Don't have the staff/setup for IV in office and have no interest in that anyway.

I used the typical 5-10mg Valium for a while but starting 5mg Valium + 5mg Baclofen and seems to work a lot better and people don't complain as much.

A lot of my patient population think a procedure involving a needle should be completely pain free and other practices around me who use moderate sedation for everything. The most I ever use for ESIs or RFs is 2mg Versed for bilateral RFs that I do at ASC for people who demand it or are disasters in office with oral.

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[deleted875186]

Hey guys/gals - what are your favorite cocktails for oral sedation for in office procedures? Don't have the staff/setup for IV in office and have no interest in that anyway.

I used the typical 5-10mg Valium for a while but starting 5mg Valium + 5mg Baclofen and seems to work a lot better and people don't complain as much.

A lot of my patient population think a procedure involving a needle should be completely pain free and other practices around me who use moderate sedation for everything. The most I ever use for ESIs or RFs is 2mg Versed for bilateral RFs that I do at ASC for people who demand it or are disasters in office with oral.

I use Valium 5 mg x2, have them take one at home before coming.

 

[lobelsteve]

Ativan 1mg x2

 

[Doctodd]

a short/quick acting BZD.....which valium is not

 

[mid|ine]

Xanax 0.5 1-2 pre-procedure

 

[bedrock]

Xanax 0.25mg x 1 for petite elderly women who "have to have something"

All others xanax 0.5mg, 1-2

office stim trials/kypho- same xanax plus 5-10mg of percocet

 

[Baron Samedi]

2mg PO valium for placebo effect.

If my dentist won't sedate me for cleanings why should I sedate people for single shot injections?

 

[PainMD23]

MKO (midazolam / ketamine/ ondansetro) troche-- for the tolerant folks. But you need to monitor them.

 

[lobelsteve]

MKO (midazolam / ketamine/ ondansetro) troche-- for the tolerant folks. But you need to monitor them.

Why would you do this over a simple short acting BZD pill?

 

[sdnuser001]

Has anyone considered or used intranasal butorphanol? Seems like the rapid onset would make timing easy and they could just keep the bottle afterwards for any post RFA discomfort

 

[Ducttape]

no, no, no.

stadol is addictive. while it is a partial agonist/antagonist, it is unlike buprenorphine.