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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 > %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%