Repeated Intranasal Flumazenil Administration in Adult Subjects During Prolonged Benzodiazepine-induced Sedation

Autor: Juli A. Wylegala, Michael D. Curley, Mirjana M. Lovrincevic, Beverly K. Philip, Trevor Szymanski, Massimo Ferrigno
Rok vydání: 2013
Předmět:
Zdroj: The Open Anesthesiology Journal. 7:1-4
ISSN: 1874-3218
DOI: 10.2174/1874321801307010001
Popis: As part of a study exploring the use of oral diazepam to reduce carbon dioxide production and extend survival in a disabled submarine, intranasal flumazenil was used repeatedly over 48 hours to intermittently reverse benzodiazepine-induced sedation in six adult male subjects. Previous reports of intranasal flumazenil have been limited to pediatric pa-tients. Here we report the time course of administration of intranasal flumazenil and its effects on adult subjects, in whom flumazenil was given during sedation/reversal/re-sedation cycles. Sedation scores increased with flumazenil administra-tion in 24 of the 30 cycles, and in 100% of cases when subjects were at deeper levels of sedation.
Databáze: OpenAIRE