Retrospective audit of midazolam dose and intravenous sedation record keeping in a primary care oral surgery service-Reference-Cited by-同舟云学术

Retrospective audit of midazolam dose and intravenous sedation record keeping in a primary care oral surgery service

Published:2022-03 Issue:1 Volume:11 Page:50-57
ISSN:2050-1684
Container-title:Primary Dental Journal
language:en
Short-container-title:Prim Dent J

Author:

Liew Jonathan¹,Winston Michael²

Affiliation:

1. Specialty Registrar in Oral Surgery, Edinburgh Dental Institute, Edinburgh UK

2. Tier 2 Specialist in Oral Surgery, Cheshire and Merseyside Primary Care Oral Surgery Service, Liverpool, UK

Abstract

Regular and robust audit of conscious sedation practice is key to the delivery of safe and effective patient care in all clinical settings. Analysis of outcomes will help to highlight any necessary modifications to procedures and techniques. The Intercollegiate Advisory Committee for Sedation in Dentistry (IACSD) states that conscious sedation procedures must be the subject of robust and regular audit in which every member within the team takes part.1 This completed audit cycle highlighted the efficacy of intravenous (IV) midazolam in anxious patients undergoing oral surgical procedures and the suitability for its use in the primary care setting. No patient safety concerns or complications were recorded in this audit and midazolam was administered within the recommended dose range. By the conclusion of two audit cycles, all clinicians providing intravenous sedation within the service were aware of the missing elements in sedation record-keeping and were able to complete accurate contemporaneous records before, during and after conscious sedation, ensuring the continuous delivery of high-quality, safe, and patient-centred care.

Publisher

SAGE Publications

Subject

General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/20501684221085846

Reference24 articles.

1. The dental faculties of the royal colleges of surgeons and the Royal College of Anaesthetists. Standards for Conscious Sedation in the Provision of Dental Care (V1.1). [Internet]. London: Intercollegiate Advisory Committee for Sedation in Dentistry (IACSD); 2020. Available at: https://www.rcseng.ac.uk/-/media/files/rcs/fds/publications/standards-for-conscious-sedation-and-accreditation/dental-sedation-report-v11-2020.pdf [Accessed July 2021].

2. Complications Associated with Intravenous Midazolam Sedation in Anxious Dental Patients

3. Department of Health (DH). Conscious sedation in the provision of dental care: report of an Expert Group on Sedation for Dentistry. [Internet]. London: Standing Dental Advisory Committee; 2003. Available at: https://webarchive.nationalarchives.gov.uk/ukgwa/20120106113253mp_/http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4074705.pdf [Accessed August 2021].

4. Department of Health (DH). Commisioning Conscious Sedation Services in Primary Dental Care. [Internet]. London: DH; 2007. Available at: https://delta.bipsolutions.com/docstore/pdf/15838.pdf [Accessed August 2021].

5. Scottish Dental Clinical Effectiveness Programme (SDCEP). Conscious Sedation in Dentistry: Dental Clinical Guidance. 3rd Ed. [Internet]. London: SDCEP; 2017. Available at: https://www.sdcep.org.uk/wp-content/uploads/2018/07/SDCEP-Conscious-Sedation-Guidance.pdf [Accessed July 2021].