Table 3.
Studies of clinical practice
Incidents | Physical restraint | IV:IM | Drug of choice | Frequency of use | mean dose in mg (range) | Second injection | Complications / comments | |
UK 1997 [20] | 3.3 / week / 100,000 catchment area population ~5 people per week | 64% (nurses) | 1:1 | Diazepam | Most frequent | 27 (10–80) | 1 hypotention | |
Haloperidol | (exact data not presented) | 22 (10–60) | 26% | 1 cardiorespiratory arrest (60 mg haloperidol + 80 mg DZ) | ||||
Chlorpromazine | 162 (50–400) | 1 tachycardia, 1 hypotention | ||||||
Droperidol | 14 (10–20) | |||||||
Paraldehyde | 1 respiratory distress | |||||||
Amytal | ||||||||
Lorazepam | ||||||||
Nitrazepam | Least frequent | |||||||
France 1999 [18] | 5.6 / 1000 contacts | 86% (nurses) | 0:80 | Loxapine | 80% | 200 mg | 2 with acute dystonia | |
Droperidol | 5% | |||||||
Chlorazepate | 5% | |||||||
Cyamemazine | < 2% | 6% | Mostly people with substance abuse | |||||
Diazepam | ||||||||
Sultopride | ||||||||
Meprobamate | ||||||||
Brazil 2000 [13] | 2.1 / week / 100,000 catchment area population ~74 people per week | Majority (restraints and nurses) | 0:74 | Haloperidol + promethazine | 61% | 5 (2.5–10) + 50 (25–100) | 0% | |
Haloperidol + Promethazine + Diazepam | 15% | 5 (2.5–10) + 50 (25–100) + 10 | ||||||
Diazepam | 9% | 10 | ||||||
Haloperidol + Promethazine + Chlorpromazine | 7% | 5 + 50 + 25 | ||||||
Chlorpromazine + Diazepam + Promethazine | 1% | 25 + 10 | ||||||
Chlorpromazine + Promethanzine | 1% | 25 + 50 | ||||||
Chlorpromazine | 1% | 25 | ||||||
Diazepam + Promethazine | 1% | 10 + 5 | ||||||
Haloperidol + Diazepam | 1% | 5 + 10 | ||||||
Promethazine | 1% | 50 |