Mise à jour basée sur des données probantes: Améliore-t-on le comportement des enfants par une prémédication au midazolam par la bouche?

Abstract

Premedication with midazolam 0.5 mg x kg(-1) po administered 20-30 min preoperatively, is effective in reducing both separation and induction anxiety in children (grade A recommendation), with minimal effect on recovery times. However improved postoperative behavioural outcomes in the postanesthesia care unit, or at home cannot be predicted on a consistent basis.

Dexmedetomidine–ketamine and midazolam–ketamine combinations for sedation in pediatric patients undergoing extracorporeal shock wave lithotripsy: a randomized prospective study

“…Midazolam is safely used in outpatient pediatric groups for effective sedation and reduced anxiety. It has a minimal effect on recovery time [7]. Both midazolam and ketamine have been used for sedation in pediatric patients for different procedures.…”

Anaesthetic Management of Tetralogy of Fallot Coming for Non-Cardiac Surgery: A Case Report

“…Midazolam can be given for premedication to reduce oxygen consumption. [10] Infective endocarditis is a serious concern and prophylaxis must be given with antibiotics. Full blood count and coagulation profile should always be requested.…”

Comparative Study of Effects of Midazolam and Ketamine as Oral Premedication for Paediatric Anaesthesia

“…(10) Cox et al concluded that oral midazolam is effective in reducing both separation and induction anxiety, which correlates with our study. (11) Induction score was excellent in 54% children with midazolam compared to 44% in ketamine group. Patel and Meakin also reported greater anxiolysis after oral midazolam than after a combination of diazepam and droperidol or trimeprazine.…”