SAAD Digest 

March 2026
Volume: 42
Issue: 1
DOI: 10.63507/GYXY4485

Title: Remimazolam in Older Patients: A Game-Changer in Procedural Sedation?

Author(s): J Patel

Abstract:
This essay examines the use of remimazolam in a dental hospital setting for patients over 65 over the past two years. Remimazolam has emerged as a game-changer in sedation, particularly for older patients who face various challenges such as dementia, multiple co-morbidities, kidney disease or a high BMI. These patients may also have physical disabilities, requiring the use of wheelchairs or special accommodations such as stretchers to access treatment. Traditional sedatives often present risks in such individuals, however, remimazolam has shown to offer a safer alternative with its rapid onset, short duration of action and minimal impact on cardiovascular and respiratory systems.¹ This makes it especially valuable for older adults, enabling them to undergo necessary procedures, such as dental care, that they might otherwise avoid due to sedative risks or physical constraints. Remimazolam has proven to be effective in helping these patients receive conscious sedation for medical interventions.² It has also now been useful for dental treatments and improving accessibility to care that was previously challenging. Its ability to provide safe and effective sedation to a vulnerable population marks a significant advancement in geriatric anesthesia and sedation management, ensuring that older patients with complex medical conditions can receive essential dental and medical care with reduced risk and improved outcomes.

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Articles from Digest 42(I)