Page last updated: 2024-10-31

midazolam and Agitated Emergence

midazolam has been researched along with Agitated Emergence in 22 studies

Midazolam: A short-acting hypnotic-sedative drug with anxiolytic and amnestic properties. It is used in dentistry, cardiac surgery, endoscopic procedures, as preanesthetic medication, and as an adjunct to local anesthesia. The short duration and cardiorespiratory stability makes it useful in poor-risk, elderly, and cardiac patients. It is water-soluble at pH less than 4 and lipid-soluble at physiological pH.
midazolam : An imidazobenzodiazepine that is 4H-imidazo[1,5-a][1,4]benzodiazepine which is substituted by a methyl, 2-fluorophenyl and chloro groups at positions 1, 6 and 8, respectively.

Research Excerpts

ExcerptRelevanceReference
"We investigated the effect on pre-operative anxiety of premedication with midazolam, playing video games or watching a cartoon about anaesthesia."9.41Which is good for pre-operative anxiety? Midazolam, video games or teaching with cartoons: A randomised trial. ( Bolat, M; Donmez, A; Polat, R; Sakızcı Uyar, B, 2021)
"In paediatric patients undergoing strabismus surgery intranasal dexmedetomidine 2 μg kg premedication decreases the incidence of emergence delirium and PONV, and improves parents' satisfaction compared with oral midazolam."9.34Intranasal dexmedetomidine versus oral midazolam premedication to prevent emergence delirium in children undergoing strabismus surgery: A randomised controlled trial. ( Chen, W; Lin, J; Lin, Y; Sun, Y; Yao, Y; Zheng, X, 2020)
"The purpose of this study was to compare effects of tablet-based interactive distraction (TBID; 1 minute preseparation) with oral midazolam (15 to 45 minutes of preseparation) on preoperative anxiety, emergence delirium, and postanesthesia length of stay in children, 4 to 12 years undergoing outpatient surgery."9.30Single-Blinded Randomized Controlled Study on Use of Interactive Distraction Versus Oral Midazolam to Reduce Pediatric Preoperative Anxiety, Emergence Delirium, and Postanesthesia Length of Stay. ( Cazzell, MA; Pearcy, T; Stewart, B, 2019)
" Compared with midazolam, dexmedetomidine was favorable in reducing both emergence delirium and pain in the postoperative care unit, and both clonidine and dexmedetomidine reduced anxiety in the postoperative care unit."5.69Postoperative recovery in preschool-aged children: A secondary analysis of a randomized controlled trial comparing premedication with midazolam, clonidine, and dexmedetomidine. ( Bromfalk, Å; Engström, Å; Hultin, M; Myrberg, T; Walldén, J, 2023)
"We investigated the effect on pre-operative anxiety of premedication with midazolam, playing video games or watching a cartoon about anaesthesia."5.41Which is good for pre-operative anxiety? Midazolam, video games or teaching with cartoons: A randomised trial. ( Bolat, M; Donmez, A; Polat, R; Sakızcı Uyar, B, 2021)
"In paediatric patients undergoing strabismus surgery intranasal dexmedetomidine 2 μg kg premedication decreases the incidence of emergence delirium and PONV, and improves parents' satisfaction compared with oral midazolam."5.34Intranasal dexmedetomidine versus oral midazolam premedication to prevent emergence delirium in children undergoing strabismus surgery: A randomised controlled trial. ( Chen, W; Lin, J; Lin, Y; Sun, Y; Yao, Y; Zheng, X, 2020)
"The purpose of this study was to compare effects of tablet-based interactive distraction (TBID; 1 minute preseparation) with oral midazolam (15 to 45 minutes of preseparation) on preoperative anxiety, emergence delirium, and postanesthesia length of stay in children, 4 to 12 years undergoing outpatient surgery."5.30Single-Blinded Randomized Controlled Study on Use of Interactive Distraction Versus Oral Midazolam to Reduce Pediatric Preoperative Anxiety, Emergence Delirium, and Postanesthesia Length of Stay. ( Cazzell, MA; Pearcy, T; Stewart, B, 2019)
" This prospective observational study included 638 pediatric American Society of Anesthesiologists I-II patients who underwent ambulatory pediatric surgery, grouped into four preoperative preparation groups: NADA (not premedicated), MDZ (premedicated with midazolam), PPIA (parental presence during induction of anesthesia), and PPIA + MDZ."4.12Parental Presence during Induction of Anesthesia Improves Compliance of the Child and Reduces Emergence Delirium. ( Alonso Calderón, J; Gajate Martin, L; Gil Mayo, D; Gomez Rojo, M; Hernández Oliveros, F; Sanabria Carretero, P, 2022)
" A prospective, double-blind, randomized, controlled study was performed to compare the efficacy of minimal dosage of midazolam versus dexmedetomidine to prevent ED in children undergoing tonsillectomy."2.94Comparison of single minimum dose administration of dexmedetomidine and midazolam for prevention of emergence delirium in children: a randomized controlled trial. ( Ahn, JH; Cha, YB; Cho, EA; Lee, SH; Ryu, KH; Shim, JG, 2020)
"A blinded observer in the PACU assessed emergence delirium using the Pediatric Anesthesia Emergence Delirium (PAED) scale."2.94Randomized controlled trial of acupuncture to prevent emergence delirium in children undergoing myringotomy tube placement. ( Cusick, J; Lalwani, K; Martin, CS; Piper, L; Treggiari, MM; Yanez, ND, 2020)
"Remifentanil has a significant effect on reducing the occurrence of delirium (P = 0."2.84The influence of analgesic-based sedation protocols on delirium and outcomes in critically ill patients: A randomized controlled trial. ( An, Y; Liu, D; Lyu, J; Zhao, H, 2017)
"Incidence of EA and postoperative pain scores were recorded at 10-min intervals in the postanaesthetic care unit (PACU)."2.82Comparison of effects of intravenous midazolam and ketamine on emergence agitation in children: Randomized controlled trial. ( Jung, JW; Kang, E; Kim, KM; Kim, YH; Ko, MJ; Lee, KH, 2016)
"Postoperative emergence delirium develops in 12% to 18% of all children undergoing general anesthesia for surgery."2.55Effectiveness of preoperative intranasal dexmedetomidine, compared with oral midazolam, for the prevention of emergence delirium in the pediatric patient undergoing general anesthesia: a systematic review. ( Badeaux, J; Bonanno, LS; FitzSimons, J; Pierce, S, 2017)
"Midazolam premedication was administered to 782 (40%) patients (median [IQR] dose 2 [1,2] mg)."2.44The association between midazolam premedication and postoperative delirium - a retrospective cohort study. ( Cohen, B; Davydov, T; Iacubovici, L; Karol, D; Kiselevich, Y; Matot, I; Shaylor, R; Weiss, Y; Zarour, S, 2024)
"Oral midazolam was reported as standard premedication by 84% of respondents, the second largest group was 'no premedication' (5%)."1.46Prevention and Therapy of Pediatric Emergence Delirium: A National Survey. ( Baehner, T; Bode, C; Ellerkmann, RK; Erdfelder, F; Hoeft, A; Hoehne, C; Huett, C, 2017)

Research

Studies (22)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's8 (36.36)24.3611
2020's14 (63.64)2.80

Authors

AuthorsStudies
Wang, HY1
Chen, TY1
Li, DJ1
Lin, PY1
Su, KP1
Chiang, MH1
Carvalho, AF1
Stubbs, B1
Tu, YK1
Wu, YC1
Roerecke, M1
Smith, L1
Tseng, PT1
Hung, KC1
Zarour, S1
Weiss, Y1
Kiselevich, Y1
Iacubovici, L1
Karol, D1
Shaylor, R1
Davydov, T1
Matot, I1
Cohen, B1
Bağcaz, A1
Ayhan, A1
Bromfalk, Å1
Hultin, M1
Myrberg, T1
Engström, Å1
Walldén, J1
Yoshimura, M1
Hidaka, Y1
Morimoto, Y1
Zhang, D1
Jia, X1
Lin, D1
Ma, J1
Cho, EA1
Cha, YB1
Shim, JG1
Ahn, JH1
Lee, SH1
Ryu, KH1
Martin, CS1
Yanez, ND1
Treggiari, MM1
Piper, L1
Cusick, J1
Lalwani, K1
Wang, L1
Huang, L1
Zhang, T1
Peng, W1
Yao, Y1
Sun, Y1
Lin, J1
Chen, W1
Lin, Y1
Zheng, X1
Sakızcı Uyar, B1
Polat, R1
Bolat, M1
Donmez, A1
Singla, L1
Mathew, PJ1
Jain, A1
Yaddanapudi, S1
Peters, NJ1
Gil Mayo, D1
Sanabria Carretero, P1
Gajate Martin, L1
Alonso Calderón, J1
Hernández Oliveros, F1
Gomez Rojo, M1
FitzSimons, J1
Bonanno, LS2
Pierce, S2
Badeaux, J2
Liu, D1
Lyu, J1
Zhao, H1
An, Y1
Wu, XL1
Peng, B1
Shan, CJ1
Liu, JJ1
Zhang, FC1
Keles, S1
Kocaturk, O1
Stewart, B1
Cazzell, MA1
Pearcy, T1
Kim, KM1
Lee, KH1
Kim, YH1
Ko, MJ1
Jung, JW1
Kang, E1
Guo, Y1
Jia, P1
Zhang, J1
Wang, X1
Jiang, H1
Jiang, W1
FitzSimons, JJ1
Huett, C1
Baehner, T1
Erdfelder, F1
Hoehne, C1
Bode, C1
Hoeft, A1
Ellerkmann, RK1

Clinical Trials (10)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Dexmedetomidine Versus Midazolam Premedication on Emergence Agitation After Strabismus Surgery in Children[NCT01895023]Phase 4156 participants (Actual)Interventional2013-09-30Completed
The Effect of Three Different Interventions on Preoperative Anxiety in Children[NCT03530670]Phase 4138 participants (Actual)Interventional2018-08-06Completed
Utility of Oral Dexmedetomidine as the Sole Sedative Agent in Pediatric Population Undergoing MRI[NCT05619627]Phase 1120 participants (Anticipated)Interventional2024-02-01Not yet recruiting
The Effect of Visualized Education and Distraction in the Preoperative Process on Reducing the Anxiety of Children and Their Parents: A Randomized Controlled Study[NCT05279976]210 participants (Anticipated)Interventional2023-06-06Recruiting
Comparison of the Effectiveness of Two Different Distraction Interventions in Reducing Preoperative Anxiety of Children and Parents Who Are Scheduled for Elective Surgery: A Randomized Controlled Study[NCT05538039]210 participants (Anticipated)Interventional2022-09-16Recruiting
Intelligent Customer-driven Solution for Children and Their Parents Undergoing Children´s Day Surgery[NCT04277299]40 participants (Actual)Interventional2020-08-12Completed
Midazolam Effect on Agitation Postnasal Surgery: A Double Blinded Randomized Controlled Trial[NCT05165914]100 participants (Actual)Interventional2021-05-27Completed
Intranasal Sedation With Dexmedetomidine for Vitroretinal Procedures[NCT03251222]Phase 440 participants (Anticipated)Interventional2017-01-01Recruiting
Investigation of the DNA Methylation Profile in Children Who Presented Emergence Delirium[NCT03787849]175 participants (Actual)Interventional2018-09-24Completed
Effectivity of 0.5 mg/kg Propofol in the End of Anesthesia to Reduce the Incidence of Postanesthetic Emergence Agitation in Pediatric Patients Under General Inhalation Anesthesia[NCT03528954]54 participants (Actual)Interventional2018-05-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

3 reviews available for midazolam and Agitated Emergence

ArticleYear
Association of pharmacological prophylaxis with the risk of pediatric emergence delirium after sevoflurane anesthesia: An updated network meta-analysis.
    Journal of clinical anesthesia, 2021, Volume: 75

    Topics: Anesthesia, General; Child; Emergence Delirium; Humans; Midazolam; Network Meta-Analysis; Sevofluran

2021
Melatonin or its analogs as premedication to prevent emergence agitation in children: a systematic review and meta-analysis.
    BMC anesthesiology, 2023, Nov-30, Volume: 23, Issue:1

    Topics: Adolescent; Child; Dexmedetomidine; Emergence Delirium; Humans; Melatonin; Methyl Ethers; Midazolam;

2023
Effectiveness of preoperative intranasal dexmedetomidine, compared with oral midazolam, for the prevention of emergence delirium in the pediatric patient undergoing general anesthesia: a systematic review.
    JBI database of systematic reviews and implementation reports, 2017, Volume: 15, Issue:7

    Topics: Administration, Intranasal; Adrenergic alpha-2 Receptor Agonists; Anesthesia, General; Child; Child,

2017

Trials

11 trials available for midazolam and Agitated Emergence

ArticleYear
Postoperative recovery in preschool-aged children: A secondary analysis of a randomized controlled trial comparing premedication with midazolam, clonidine, and dexmedetomidine.
    Paediatric anaesthesia, 2023, Volume: 33, Issue:11

    Topics: Adrenergic alpha-2 Receptor Agonists; Anesthesia, General; Child; Child, Preschool; Clonidine; Dexme

2023
Comparison of single minimum dose administration of dexmedetomidine and midazolam for prevention of emergence delirium in children: a randomized controlled trial.
    Journal of anesthesia, 2020, Volume: 34, Issue:1

    Topics: Child; Dexmedetomidine; Double-Blind Method; Emergence Delirium; Humans; Hypnotics and Sedatives; In

2020
Randomized controlled trial of acupuncture to prevent emergence delirium in children undergoing myringotomy tube placement.
    Minerva anestesiologica, 2020, Volume: 86, Issue:2

    Topics: Acupuncture Therapy; Anesthesia, Inhalation; Anesthetics, Inhalation; Child; Child, Preschool; Emerg

2020
Comparison of Intranasal Dexmedetomidine and Oral Midazolam for Premedication in Pediatric Dental Patients under General Anesthesia: A Randomised Clinical Trial.
    BioMed research international, 2020, Volume: 2020

    Topics: Administration, Intranasal; Administration, Oral; Anesthesia, General; Child; Child, Preschool; Dexm

2020
Intranasal dexmedetomidine versus oral midazolam premedication to prevent emergence delirium in children undergoing strabismus surgery: A randomised controlled trial.
    European journal of anaesthesiology, 2020, Volume: 37, Issue:12

    Topics: Child; Dexmedetomidine; Double-Blind Method; Emergence Delirium; Humans; Hypnotics and Sedatives; Mi

2020
Which is good for pre-operative anxiety? Midazolam, video games or teaching with cartoons: A randomised trial.
    European journal of anaesthesiology, 2021, 07-01, Volume: 38, Issue:7

    Topics: Anxiety; Child; Emergence Delirium; Humans; Midazolam; Prospective Studies; Video Games

2021
Oral melatonin as part of multimodal anxiolysis decreases emergence delirium in children whereas midazolam does not: A randomised, double-blind, placebo-controlled study.
    European journal of anaesthesiology, 2021, 11-01, Volume: 38, Issue:11

    Topics: Anesthesia, General; Child; Child, Preschool; Double-Blind Method; Emergence Delirium; Humans; Melat

2021
The influence of analgesic-based sedation protocols on delirium and outcomes in critically ill patients: A randomized controlled trial.
    PloS one, 2017, Volume: 12, Issue:9

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Critical Illness; Deep Sedation; Emergence Delirium; Fem

2017
The influence of dexmedetomidine on the emergence agitation of pediatric patients after the operations of sense organs under general anesthesia using sevoflurane.
    Minerva pediatrics, 2022, Volume: 74, Issue:2

    Topics: Anesthesia Recovery Period; Anesthesia, General; Child; Dexmedetomidine; Emergence Delirium; Humans;

2022
Single-Blinded Randomized Controlled Study on Use of Interactive Distraction Versus Oral Midazolam to Reduce Pediatric Preoperative Anxiety, Emergence Delirium, and Postanesthesia Length of Stay.
    Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 2019, Volume: 34, Issue:3

    Topics: Adult; Aged; Ambulatory Surgical Procedures; Anesthesia Recovery Period; Anti-Anxiety Agents; Anxiet

2019
Single-Blinded Randomized Controlled Study on Use of Interactive Distraction Versus Oral Midazolam to Reduce Pediatric Preoperative Anxiety, Emergence Delirium, and Postanesthesia Length of Stay.
    Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 2019, Volume: 34, Issue:3

    Topics: Adult; Aged; Ambulatory Surgical Procedures; Anesthesia Recovery Period; Anti-Anxiety Agents; Anxiet

2019
Single-Blinded Randomized Controlled Study on Use of Interactive Distraction Versus Oral Midazolam to Reduce Pediatric Preoperative Anxiety, Emergence Delirium, and Postanesthesia Length of Stay.
    Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 2019, Volume: 34, Issue:3

    Topics: Adult; Aged; Ambulatory Surgical Procedures; Anesthesia Recovery Period; Anti-Anxiety Agents; Anxiet

2019
Single-Blinded Randomized Controlled Study on Use of Interactive Distraction Versus Oral Midazolam to Reduce Pediatric Preoperative Anxiety, Emergence Delirium, and Postanesthesia Length of Stay.
    Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 2019, Volume: 34, Issue:3

    Topics: Adult; Aged; Ambulatory Surgical Procedures; Anesthesia Recovery Period; Anti-Anxiety Agents; Anxiet

2019
Single-Blinded Randomized Controlled Study on Use of Interactive Distraction Versus Oral Midazolam to Reduce Pediatric Preoperative Anxiety, Emergence Delirium, and Postanesthesia Length of Stay.
    Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 2019, Volume: 34, Issue:3

    Topics: Adult; Aged; Ambulatory Surgical Procedures; Anesthesia Recovery Period; Anti-Anxiety Agents; Anxiet

2019
Single-Blinded Randomized Controlled Study on Use of Interactive Distraction Versus Oral Midazolam to Reduce Pediatric Preoperative Anxiety, Emergence Delirium, and Postanesthesia Length of Stay.
    Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 2019, Volume: 34, Issue:3

    Topics: Adult; Aged; Ambulatory Surgical Procedures; Anesthesia Recovery Period; Anti-Anxiety Agents; Anxiet

2019
Single-Blinded Randomized Controlled Study on Use of Interactive Distraction Versus Oral Midazolam to Reduce Pediatric Preoperative Anxiety, Emergence Delirium, and Postanesthesia Length of Stay.
    Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 2019, Volume: 34, Issue:3

    Topics: Adult; Aged; Ambulatory Surgical Procedures; Anesthesia Recovery Period; Anti-Anxiety Agents; Anxiet

2019
Single-Blinded Randomized Controlled Study on Use of Interactive Distraction Versus Oral Midazolam to Reduce Pediatric Preoperative Anxiety, Emergence Delirium, and Postanesthesia Length of Stay.
    Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 2019, Volume: 34, Issue:3

    Topics: Adult; Aged; Ambulatory Surgical Procedures; Anesthesia Recovery Period; Anti-Anxiety Agents; Anxiet

2019
Single-Blinded Randomized Controlled Study on Use of Interactive Distraction Versus Oral Midazolam to Reduce Pediatric Preoperative Anxiety, Emergence Delirium, and Postanesthesia Length of Stay.
    Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 2019, Volume: 34, Issue:3

    Topics: Adult; Aged; Ambulatory Surgical Procedures; Anesthesia Recovery Period; Anti-Anxiety Agents; Anxiet

2019
Comparison of effects of intravenous midazolam and ketamine on emergence agitation in children: Randomized controlled trial.
    The Journal of international medical research, 2016, Volume: 44, Issue:2

    Topics: Anesthesia Recovery Period; Anesthesia, General; Anesthetics, Dissociative; Anesthetics, Inhalation;

2016

Other Studies

8 other studies available for midazolam and Agitated Emergence

ArticleYear
The association between midazolam premedication and postoperative delirium - a retrospective cohort study.
    Journal of clinical anesthesia, 2024, Volume: 92

    Topics: Aged; Emergence Delirium; Female; Humans; Male; Midazolam; Postoperative Complications; Premedicatio

2024
Emergence Agitation with Earthquake-Related Traumatic Stress Symptoms After Intravenous Sedation.
    Turk psikiyatri dergisi = Turkish journal of psychiatry, 2023,Summer, Volume: 34, Issue:2

    Topics: Anesthesia; Anesthetics, Intravenous; Earthquakes; Emergence Delirium; Humans; Ketamine; Midazolam

2023
Association Between the Use of Midazolam During Cardiac Anesthesia and the Incidence of Postoperative Delirium: A Retrospective Cohort Study Using a Nationwide Database.
    Journal of cardiothoracic and vascular anesthesia, 2023, Volume: 37, Issue:12

    Topics: Anesthesia, Cardiac Procedures; Emergence Delirium; Humans; Incidence; Midazolam; Postoperative Comp

2023
Parental Presence during Induction of Anesthesia Improves Compliance of the Child and Reduces Emergence Delirium.
    European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie, 2022, Volume: 32, Issue:4

    Topics: Anesthesia; Anxiety; Child; Emergence Delirium; Humans; Infant; Midazolam; Parents; Prospective Stud

2022
Comparison of oral dexmedetomidine and midazolam for premedication and emergence delirium in children after dental procedures under general anesthesia: a retrospective study.
    Drug design, development and therapy, 2018, Volume: 12

    Topics: Administration, Oral; Anesthesia, Dental; Child; Child, Preschool; Dexmedetomidine; Emergence Deliri

2018
Prevalence and risk factors of postoperative delirium in elderly hip fracture patients.
    The Journal of international medical research, 2016, Volume: 44, Issue:2

    Topics: Age Factors; Aged; Aged, 80 and over; Anesthesia, General; Anesthetics, Intravenous; Arthroplasty, R

2016
Effectiveness of preoperative intranasal dexmedetomidine compared with oral midazolam for the prevention of emergence delirium in pediatric patients undergoing general anesthesia: a systematic review protocol.
    JBI database of systematic reviews and implementation reports, 2016, Volume: 14, Issue:8

    Topics: Anesthesia, General; Child; Dexmedetomidine; Emergence Delirium; Humans; Hypnotics and Sedatives; Mi

2016
Prevention and Therapy of Pediatric Emergence Delirium: A National Survey.
    Paediatric drugs, 2017, Volume: 19, Issue:2

    Topics: Child; Dexmedetomidine; Emergence Delirium; Humans; Midazolam; Pediatrics; Propofol

2017
Prevention and Therapy of Pediatric Emergence Delirium: A National Survey.
    Paediatric drugs, 2017, Volume: 19, Issue:2

    Topics: Child; Dexmedetomidine; Emergence Delirium; Humans; Midazolam; Pediatrics; Propofol

2017
Prevention and Therapy of Pediatric Emergence Delirium: A National Survey.
    Paediatric drugs, 2017, Volume: 19, Issue:2

    Topics: Child; Dexmedetomidine; Emergence Delirium; Humans; Midazolam; Pediatrics; Propofol

2017
Prevention and Therapy of Pediatric Emergence Delirium: A National Survey.
    Paediatric drugs, 2017, Volume: 19, Issue:2

    Topics: Child; Dexmedetomidine; Emergence Delirium; Humans; Midazolam; Pediatrics; Propofol

2017