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August 13, 1973

Intravenous Diazepam Administration

Author Affiliations

Atlanta, Ga

JAMA. 1973;225(7):750. doi:10.1001/jama.1973.03220340054029

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To the Editor.—  With reference to recent Letters regarding the intravenous diazepam administration previously mentioned in the article by Langdon et al (223:184, 1973) and letter by Friedenberg and Barker (224: 901, 1973), a special technique for injection of diazepam was mentioned. The use of a scalp vein needle to inject diazepam directly into the vein may be an alternate method of giving the drug and one that could probably cut down incidence of phlebitis. I have been routinely doing this now on my last 150 endoscopic examinations and have given diazepam slowly, directly through the scalp vein needle with further dosage increases by mounting a new filled syringe attached to the tubing and injecting the amount needed. I have not flushed the syringes with saline or heparin sodium solution and have only drawn back and used the patient's own blood. At the present time, I have had approximately 60