Lancashire and South Cumbria
Formulary
 
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15 Anaesthesia
15-01-04-01 Benzodiazepines

Benzodiazepines should only be administered for anaesthesia by, or under the direct supervision of, personnel experienced in their use, with adequate training in anaesthesia and airway management.


Diazepam
Formulary

Injection 10mg/2mL


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Lorazepam
Formulary

Injection 4mg/1mL


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Midazolam
Formulary

Injection 5mg/5ml

NB. The 10mg/2ml injection is for use in palliative care only. Please see Palliative Care formulary.

NHS Never Event: Mis-selection of high-strength midazolam during conscious sedation (January 2018).
In clinical areas performing conscious sedation, high-strength preparations (5 mg/mL in 2 mL and 10 mL ampoules, or 2 mg/mL in 5 mL ampoules) should not be selected in place of the 1 mg/mL preparation.

The areas where high-strength midazolam is used should be restricted to those performing general anaesthesia, intensive care, palliative care, or areas where its use has been formally risk-assessed in the organisation. In these situations the higher strength may be more appropriate to administer the prescribed dose.

It is advised that flumazenil is available when midazolam is used, to reverse the effects if necessary.

Link  LSCMMG: Critical Care Medicines Information

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Midazolam/Lidocaine nasal solution
Formulary

Midazolam 40mg/Lidocaine 20mg/1mL nasal solution,
Midazolam 20mg/Lidocaine 10mg/0.5mL nasal solution

For paediatric surgical use only

unlicensed Unlicensed


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