A comparative evaluation of newer sedatives in conscious sedation
Dr.Bandana Koirala B.D.S., M.D.S / Prof. R.K. Pandey B.D.S., M.D.S / Prof. A.K. Saksen M.B.B.S., M.D. / Dr. Rakesh Kumar B.D.S., M.D.S. / Dr. Shivalal Sharma B.D.S., M.D.S.

This double blind study was undertaken to determine the safety and efficacy of orally administered newer sedatives and analgesics for conscious sedation in 120 child patients. Patients were randomly assigned into: Midazolam (I), Ketamine (II), Zolpidem (III), Midazolam plus Ketamine (IV), Midazolam plus Tramadol (V) and Zolpidem plus Tramadol (VI) groups of 20 each. Onset of action, level of sedation, ease of treatment completion, recovery time, and post-operative amnesia were assessed for all and compared. Midazolam plus ketamine was found the most effective combination providing a fast and adequate analgo-sedation in anxious and uncooperative child patients.