Forum.

Table 2. Use of drugs for ‘sudden’ sedation.

Study P = prospective R = retrospective	Sample size, setting and country	Frequency of sedation (%)	Drugs used (%, where stated)		Indications for sedation (%, where stated)
Fainsinger 20005 P	387 PCU Canada	15–36	Midazolam                 Haloperidol                   Lorazepam                    Phenobarbital      Levomepromazine	71 9 8 3 1	Delirium                   Dyspnoea               Pain                            Existential distress	61 26 7 7
Fainsinger 200016 P	150 PCU + Hospital Canada	4–10	Midazolam                Levomepromazine  Lorazepam                Diazepam	50 30 10 10	Delirium      Dyspnoea	91 9
Fainsinger 199817 R	278 PCU Canada	1	Midazolam	100	Delirium	100

PCU = Palliative Care Unit

(Interesting that all the studies in this table are from the same author – is Robin the only one practising sudden sedation?!?  I also am intrigued to see that in the 1998 study he used midazolam to sedate for delirium, in contradiction to your text comment about not using a benzodiazepine alone for delirium)

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