Children, Conscious Sedation, Dormicum
Conditions
Brief summary
Currently Midazolam sedation is the standard of care for minor invasive procedures in pediatric patients; its use is restricted to two routes of administration for this purpose oral and intranasal. A third route of administration (buccal) is tested and approved for seizure management. In the investigators' study the researchers investigate the buccal route of administration versus oral or intranasal administration for sedation. The investigators' hypothesis is that buccal route of administration is more convenient than intranasal and better absorbed than oral.
Interventions
comparison between 3 routes of administration of the drug Midazolam used for sedation for minor procedures in pediatric population. the routes are oral intranasal and buccal.
Sponsors
Study design
Eligibility
Inclusion criteria
* age 5 months to 6 years. * need to undergo a minimal invasive procedure that requires light sedation. * ASA (American Society of Anesthesiologists) I-II * parent that can read, understand and sign an informed consent form
Exclusion criteria
* patients with life threatening conditions. * patients with respiratory or cardiac chronic illnesses or ASA other than I-II. * patients with traumatic injury for the nose or the oral cavity. * patients that would not or cannot take the drug in the route picked in a randomized way.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| time until sedation is achieved | 1 hour | — |
| duration of sedation | 4 hour | time from achieving sedation until reaching full consciousness |
| convenience of administration | 15 minutes | described by the parent and the physician by a numerical rating scale (NRS) questionaire |
| efficacy of the sedation | 4 hours | described by the parent, nurse and physician by a NRS questionaire |
Countries
Israel