Midazolam for Conscious Sedation During Endoscopy: Cheaper and Safer Alternative for Resource-poor Settings

Authors

  • A B M Shakil Gani Assistant Professor, Department of Hepatology, Sheikh Hasina Medical College, Tangail, Bangladesh
  • Md Mizanur Rahman Junior Consultant (Medicine), Kapasia Upazilla Health Complex, Gazipur, Bangladesh
  • Abdullah Al Mahmood Assistant Professor, Department of Hepatology, Chittagong Medical College, Chittagong, Bangladesh
  • Mohammad Zakaria Al Aziz Assistant Professor, Department of Medicine, Sheikh Hasina Medical College, Tangail, Bangladesh
  • Md Rashedul Hasan Assistant Professor, Department of Medicine, Sheikh Hasina Medical College, Tangail, Bangladesh

DOI:

https://doi.org/10.3329/jssmc.v13i1.60928

Keywords:

Midazolam, Endoscopy, Conscious Sedation

Abstract

Upper gastrointestinal endoscopy is usually carried out using conscious sedation or general anesthesia all over the world. However, due to resource-poor conditions in countries like Bangladesh, physicians have to use topical anesthesia, which eventually leads to a painful and fearful endoscopic experience for most of the patients here. To improve this situation, a crosssectional study was carried out in a tertiary medical center near Dhaka, Bangladesh from March 2013 to October 2018. A total of 4557 patients were included in this study. Among them, 2236 patients were sedated with low dose Midazolam in a conscious sedation procedure, while 2321 patients underwent endoscopy with only topical anesthesia using Lidocaine gel and Lidocaine spray. It was found out that patient satisfaction with Midazolam was 99% compared to only 10% with lidocaine use. Besides, only 4% of patients were restless, but did not need anesthetic support, when Midazolam was used. In contrast, 35% of patients with topical anesthesia were found restless and were assisted. Midazolam is certainly a better and cheaper alternative in resource-poor settings and provides a painless, patient-friendly endoscopic experience without the need for anesthetic support.

J Shaheed Suhrawardy Med Coll 2021; 13(1): 33-35

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Published

2022-08-04

How to Cite

Gani, A. B. M. S. ., Rahman, M. M. ., Mahmood, A. A. ., Al Aziz, M. Z. ., & Hasan, M. R. . (2022). Midazolam for Conscious Sedation During Endoscopy: Cheaper and Safer Alternative for Resource-poor Settings. Journal of Shaheed Suhrawardy Medical College, 13(1), 33–35. https://doi.org/10.3329/jssmc.v13i1.60928

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Section

Original Articles