Intravenous Sedation of Involuntary Psychiatric Patients in New South Wales Nielssen, O. en_US Buhrich, N. en_US Finlay-Jones, R. en_US 2021-11-25T13:07:51Z 2021-11-25T13:07:51Z 1997 en_US
dc.description.abstract Objective: Intravenous sedation of involuntary psychiatric patients is practised in almost all hospitals in New South Wales. Despite its widespread use, little has been published about the medications used or their safety and efficacy. The present study reports the frequency and reasons for intravenous sedation, the medications used, and the incidence of adverse effects. Method: Eighteen of 21 acute psychiatric admission units in the State were reviewed. The medical records of a random sample of 495 patients admitted involuntarily during 1990 were examined and information from the progress notes, drug charts and physical observations was recorded and subjected to statistical analysis. Results: Of the 495 patients, 132 (27%) were intravenously sedated. Eighty-six per cent (86%) of patients received a combination of haloperidol or diazepam, usually 20 mg of each drug. The threat of violence was the most significant patient characteristic predicting the use of intravenous sedation. Patients with mania or intoxication were relatively more likely to be intravenously sedated than other diagnostic categories. Patients admitted via accident and emergency departments and those admitted to teaching and metropolitan general hospitals compared to rural and large psychiatric hospitals were significantly more likely to receive intravenous sedation. The most common complications of intravenous sedation were dystonia (37%), hypotension (8%) and confusion (5%). The incidence of phlebitis and other extrapyramidal side-effects was probably under-reported. Conclusion: About one in four involuntary psychiatric patients receive intravenous sedation in NSW. Intravenous sedation is more likely when patients are admitted through accident and emergency departments to teaching or metropolitan hospitals, and pose a threat of violence. Intravenous sedation was shown to be a safe procedure given certain precautions. en_US
dc.identifier.issn 0004-8674 en_US
dc.language English
dc.language.iso EN en_US
dc.rights CC BY-NC-ND 3.0 en_US
dc.rights.uri en_US
dc.source Legacy MARC en_US
dc.title Intravenous Sedation of Involuntary Psychiatric Patients in New South Wales en_US
dc.type Journal Article en
dcterms.accessRights metadata only access
dspace.entity.type Publication en_US
unsw.identifier.doiPublisher en_US
unsw.relation.faculty Medicine & Health
unsw.relation.ispartofissue 2 en_US
unsw.relation.ispartofjournal Australian and New Zealand Journal of Psychiatry en_US
unsw.relation.ispartofpagefrompageto 273-278 en_US
unsw.relation.ispartofvolume 31 en_US
unsw.relation.originalPublicationAffiliation Nielssen, O., Psychiatry, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation Buhrich, N. en_US
unsw.relation.originalPublicationAffiliation Finlay-Jones, R., Psychiatry, Faculty of Medicine, UNSW en_US School of Psychiatry *
Resource type