I would love to have more details of the use of intranazal Midazolam for
sedation of children for suturing. Are there any references? Exactly how
is it given? Side effects? Use in a G.P. treatment room with only nurse
assistance?
Thanks in anticipation
David Hillebrandt. BASICS/GP.
[log in to unmask]
In message <EFC7273997D2D211A4250000E868AC2D08EA42@WATKIN>, John
Chambers <[log in to unmask]> writes
>Greetings from NZ
>Tried using oral midaz 1g/kg for about a year with good results but a bit
>slow in onset
>Have been using intranasal midazolam 0.4 mg /kg for about one year now
>It is faster (10-15 mins) and the nursing staff prefer giving it to the oral
>much to my surprise
>I am sure the real benefits lie in the amnesia for the whole experience and
>the reduced likelihood of producing older children who have a needle phobia.
>The use of midazolam for these children marks a turning point in the
>development of Emergency Medicine. God help the poor kids just wrapped in a
>blanket (like I used to do for many years)
>Regards
>John Chambers
>Emergency Physician
>
>
>> ----------
>> From: [log in to unmask][SMTP:[log in to unmask]]
>> Sent: Tuesday, 25 May 1999 09:33
>> To: [log in to unmask]
>> Subject: Suturing children
>>
>> I would much appreciate some advice.
>> I am at present trying to formulate a policy on suturing children,
>> particularly the under six/seven year age group. The two issues are first-
>>
>> whether there is a safe and effective topical anaesthetic and second-what
>> sedation ( in the broadest sense ie. nothing up to GA ) ?
>> Do many people use TAC? are you still using it in Brighton?
>> What about intranasal midazolam -- lots of conficting views.
>> The literature is difficult to sift. Not keen on SHOs using Ketamine.
>> It's one of those situations where the problem becomes much more difficult
>>
>> when one tries to put it simply on paper!-or is it just me?
>> Has anyone out there got a cracking good safe and simple policy?
>> Louise Roberts
>> Cons Tunbridge Wells
>>
--
Rich Page
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