ISSN 2976-9531 (Online) 

SAAD DIGEST VOLUME 42(1) 2026

STORY BEHIND THE COVER

The cover image was generated using AI and shows capnography in action. The nasal cannulae that provide the constant gas sampling are generally very well tolerated.

3 The combined use of oral/transmucosal midazolam sedation with IV remimazolam for special care patients – a case series

7 IV sedation in an adult dental health department: a single-centre two cycle audit

15 A retrospective analysis of the waiting times for a general anaesthetic for paediatric patients at Croydon University Hospital, a service provided by the special care community dental services - King's College Hospital

18 ‘Clearing the air’: a quality improvement project introducing a digital leaflet to enhance parental understanding of inhalation sedation

 38 Remimazolam in older patients: a game-changer in procedural sedation?

42 Should capnography be compulsory for dental sedation in medically complex patients (ASA III/IV)?

47 Anaesthetic-led conscious sedation for patients with learning disabilities

55 When midazolam meets hyperactivity: tailoring dental sedation for patients with attention deficit hyperactivity disorder (ADHD)

ISSN 0049-1160 (Print)

SAAD Trustees
Carole Boyle (Course Director) BDS FDS RCS MMedSci MSND RCSEd FDS RCSEd FDTFEd DipWSET
Simon Chaplin-Rogers LDS RCS BDS (Hons) Cert Dent Ed. FRSPH
Manni Deol (Hon. Secretary) BDS MJDF PGCMedEd DipDSed
Stephanie Fenesan BDS BSc (Hons) AKC MJDF PG Dip SCD MSc MSCD RCSEd
Paul Howlett (Hon. Treasurer) BDS MFDS DipConSed
Rick Kerr BDS FDSRCS PG Dip Con Sed
Ronan Lee BDS BSc (Hons) AKC MFDS RCS
Thomas Lees BDS MFDS RCPS (Glasg) DipConSed
Yi Kwan Loo (President) BDS MFDS RCS(Ed) DipConSed AFHEA MPaed Dent RCS(Ed) FDS(Paed Dent) RCSEd
Nigel Robb (Editor) TD PhD BDS FDS RCSEd FDS(Rest Dent) RCSEd FDSRCPS FDTFEd FHEA
Laleh Sharifian BDS (Lond) MFDS RCS Dip D.Sed
Zahra Shehabi BDS MFDS MSc(Sed Spec Care) MSCD MSc (Management)
Ashleigh Stamp BDS MFDS RCPS(Glasg) DipConSed FHEA MDTF(Ed) PGCertAP
Imran Suida BChD (Hons) MOralSurg MFDS RCPS (Glasg) PgCert healthcare ed PgCert healthcare leadership FHEA

The SAAD Digest is published by the Society for the Advancement of Anaesthesia in Dentistry. The SAAD Newsletter is published electronically by the Society in summer and winter.

Consultant to the Board
Christopher Holden BDS LDSRCS DGDP(UK) FCGDent

Editorial Board
Fareed Ahmad BDS LDSRCS
Stacey Clough BChD MFGDP (UK) MFDS RCS MJDF MSpec Care Dent MSc CILT
Greg Gerrard BDS MFDS MSurgDent MSc
Jennifer Hare DHealthPsy CPsychol AFBPS
Thomas Lees BDS MFDS RCPS (Glasg) DipConSed
Yi Kwan Loo BDS MFDS RCS(Ed) DipConSed AFHEA MPaed Dent RCS(Ed) FDS(Paed Dent) RCSEd
Christopher Mercer BDS FDS RCS PhD FHEA
Nigel Robb (Editor) TD PhD BDS FDS RCSEd FDS(Rest Dent) RCSEd FDSRCPS FDTFEd FHEA
Ben Smith BDS DipConSed
Ashleigh Stamp BDS MFDS RCPS(Glasg) DipConSed FHEA MDTF(Ed) PGCertAP
Fiona Trimingham BSc(Hons) MA MRSC CT(ABRSM)
Rosemary Whatling BSc BDS FDS RCS (Paed Dent) MPaed Dent RCS MClin Dent (Paed Dent) MFDS RCS

Original articles and correspondence should be addressed to:
Email: Digest@saad.org.uk

Membership: £60 (UK) and £70 (international) per annum and includes the SAAD Digest and SAAD Newsletters, which are published on behalf of SAAD, 21 Portland Place, London W1B 1PY.

The opinions expressed in this and previous SAAD Digests and Newsletters are those of the authors and are not necessarily those of the Editorial Board nor of the SAAD Board of Trustees.

ISSN 2976-9531 (Online)