Page last updated: 2024-10-31

midazolam and Anxiety, Separation

midazolam has been researched along with Anxiety, Separation in 20 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.

Anxiety, Separation: Anxiety experienced by an individual upon separation from a person or object of particular significance to the individual.

Research Excerpts

ExcerptRelevanceReference
"Melatonin was not only as effective as midazolam in alleviating preoperative anxiety in children, but it was also associated with a tendency towards faster recovery, lower incidence of excitement postoperatively and a lower incidence of sleep disturbance at week 2 postoperatively."5.11Melatonin vs. midazolam premedication in children: a double-blind, placebo-controlled study. ( Albassam, A; Aldammas, F; Alotibi, W; Naguib, M; Riad, W; Samarkandi, A; Thalaj, A, 2005)
"Both midazolam and parental presence during induction of anesthesia are routinely used to treat preoperative anxiety in children."5.08Parental presence during induction of anesthesia versus sedative premedication: which intervention is more effective? ( Caramico, LA; Hofstadter, MB; Kain, ZN; Mayes, LC; Wang, SM, 1998)
" At the initial surgery, children were assigned (no parental intervention) to receive oral midazolam (n = 13), or parental presence during the induction of anesthesia (PPIA, n = 27), or PPIA + midazolam (n = 10) or no intervention (n = 33)."3.72Parental intervention choices for children undergoing repeated surgeries. ( Caldwell-Andrews, AA; Kain, ZN; Krivutza, DM; Mayes, LC; Wang, SM; Weinberg, ME, 2003)
" However, various dosing regimens when used alone or in combination have variable efficacy and side effect profile."2.71Comparative evaluation of midazolam and ketamine with midazolam alone as oral premedication. ( Chari, P; Ghai, B; Grandhe, RP; Kumar, A, 2005)

Research

Studies (20)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's8 (40.00)18.2507
2000's7 (35.00)29.6817
2010's5 (25.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Abdel-Ghaffar, HS1
Kamal, SM1
El Sherif, FA1
Mohamed, SA1
Sathyamoorthy, M1
Hamilton, TB1
Wilson, G1
Talluri, R1
Fawad, L1
Adamiak, B1
Wallace, C1
Borissova, I1
Heard, C1
Eskandarian, T1
Arabzade Moghadam, S1
Reza Ghaemi, S1
Bayani, M1
Damle, SG1
Gandhi, M1
Laheri, V1
Kazak, Z1
Sezer, GB1
Yilmaz, AA1
Ates, Y1
Wang, X1
Zhou, ZJ1
Zhang, XF1
Zheng, S1
Kain, ZN2
Caldwell-Andrews, AA1
Wang, SM2
Krivutza, DM1
Weinberg, ME1
Mayes, LC2
Samarkandi, A1
Naguib, M1
Riad, W1
Thalaj, A1
Alotibi, W1
Aldammas, F1
Albassam, A1
Ghai, B1
Grandhe, RP1
Kumar, A1
Chari, P1
Horiuchi, T1
Kawaguchi, M1
Kurehara, K1
Kawaraguchi, Y1
Sasaoka, N1
Furuya, H1
Mishra, LD1
Sinha, GK1
Bhaskar Rao, P1
Sharma, V1
Satya, K1
Gairola, R1
Yuen, VM1
Hui, TW1
Irwin, MG1
Yuen, MK1
Davis, PJ1
Tome, JA1
McGowan, FX1
Cohen, IT1
Latta, K1
Felder, H1
Levine, MF2
Hartley, EJ1
Macpherson, BA1
Burrows, FA1
Lerman, J3
Spahr-Schopfer, IA2
Hartley, E2
MacPherson, B1
Durry, M1
Caramico, LA1
Hofstadter, MB1
Beebe, DS1
Belani, KG1
Chang, PN1
Hesse, PS1
Schuh, JS1
Liao, JC1
Palahniuk, RJ1
Payne, KA1
Coetzee, AR1
Mattheyse, FJ1
Heydenrych, JJ1
McMillan, CO1
Sikich, N1

Clinical Trials (11)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Premedication With Different Nebulized Ketamine,Dexmedetomidine Versus Midazolam in Oncologic Preschool Children[NCT02935959]Phase 1/Phase 290 participants (Actual)Interventional2016-10-31Completed
Comparison of Oral Chloral Hydrate and Combination of Intranasal Dexmedetomidine and Ketamine for Rescue After Failed Pediatric Procedural Sedation: a Randomized Controlled Trial[NCT04822064]70 participants (Anticipated)Interventional2022-09-22Recruiting
Comparison of Oral Chloral Hydrate and Combination of Intranasal Dexmedetomidine and Ketamine for Procedural Sedation in Children: a Randomized Controlled Trial[NCT04820205]136 participants (Anticipated)Interventional2021-09-03Recruiting
Comparing Intranasal Dexmedetomidine With Oral Midazolam as Premedication for Older Children Undergoing General Anesthesia for Dental Rehabilitation[NCT02250703]Phase 375 participants (Actual)Interventional2014-09-30Completed
Use of Handheld Audiovisual Devices to Treat Pediatric Preoperative Anxiety: A Randomized Control Trial.[NCT02286674]200 participants (Actual)Interventional2014-11-30Completed
Premedication With Melatonin vs. Placebo in Patients Undergoing Interventional Pain Procedure[NCT02415309]Phase 325 participants (Actual)Interventional2016-07-31Completed
The Effect of Melatonin Administration on Sedation Level as Adjuvant to Propofol in Mechanically Ventilated Traumatic Brain Injury Patient: RCT[NCT04034771]Phase 338 participants (Actual)Interventional2018-01-01Completed
Intranasal Dexmedetomidine Decreases Emergence Delirium in Pediatric Patients After Sevoflurane Based General Anesthesia[NCT00778063]40 participants (Actual)Interventional2008-09-30Terminated (stopped due to Difficulty enrolling patients)
Does Anxiety in Children on the Day of Surgery Impact Compliance in the Ophthalmology Clinic?[NCT02704442]82 participants (Anticipated)Observational2016-02-29Recruiting
Perioperative EEG-Monitoring and Emergence Delirium in Children: a Prospective Observational Study[NCT04091724]400 participants (Anticipated)Observational2019-12-02Recruiting
Adaptive Care in the Perioperative Setting: An Observational Study[NCT03353129]60 participants (Actual)Observational2017-08-15Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

University of Michigan Sedation Scale

"Level of sedation at separation from parents and at the time of mask induction will be measured on a scale of 0 to 4 (University of Michigan Sedation Scale)~University of Michigan Sedation Scale:~0 -Awake/Alert~1 -Minimally Sedated: Tired/sleepy, appropriate response to verbal conversation and/or sounds.~2- Moderately Sedated: Somnolent/sleeping, easily aroused with light tactile stimulation.~3 - Deeply Sedated: Deep sleep, arousable only with significant physical stimulation.~4 - Unarousable~Moderately and Deeply sedated: Satisfactory Awake, minimally sedate, unarousable: Unsatisfactory" (NCT02250703)
Timeframe: Day 0:Just before the patient will be brought to the operating room

,
InterventionParticipants (Count of Participants)
Satisfactory sedation on separation from parentsUnsatisfactory sedation on separation from parentsSatisfactory sedation on transfer to OR tableUnsatisfactory sedation on transfer to OR table
Dexmedetomidine25112214
Midazolam15221225

Trials

17 trials available for midazolam and Anxiety, Separation

ArticleYear
Comparison of nebulised dexmedetomidine, ketamine, or midazolam for premedication in preschool children undergoing bone marrow biopsy.
    British journal of anaesthesia, 2018, Volume: 121, Issue:2

    Topics: Administration, Inhalation; Anesthesia Recovery Period; Anxiety, Separation; Bone Marrow Examination

2018
Comparison of nebulised dexmedetomidine, ketamine, or midazolam for premedication in preschool children undergoing bone marrow biopsy.
    British journal of anaesthesia, 2018, Volume: 121, Issue:2

    Topics: Administration, Inhalation; Anesthesia Recovery Period; Anxiety, Separation; Bone Marrow Examination

2018
Comparison of nebulised dexmedetomidine, ketamine, or midazolam for premedication in preschool children undergoing bone marrow biopsy.
    British journal of anaesthesia, 2018, Volume: 121, Issue:2

    Topics: Administration, Inhalation; Anesthesia Recovery Period; Anxiety, Separation; Bone Marrow Examination

2018
Comparison of nebulised dexmedetomidine, ketamine, or midazolam for premedication in preschool children undergoing bone marrow biopsy.
    British journal of anaesthesia, 2018, Volume: 121, Issue:2

    Topics: Administration, Inhalation; Anesthesia Recovery Period; Anxiety, Separation; Bone Marrow Examination

2018
Comparison of nebulised dexmedetomidine, ketamine, or midazolam for premedication in preschool children undergoing bone marrow biopsy.
    British journal of anaesthesia, 2018, Volume: 121, Issue:2

    Topics: Administration, Inhalation; Anesthesia Recovery Period; Anxiety, Separation; Bone Marrow Examination

2018
Comparison of nebulised dexmedetomidine, ketamine, or midazolam for premedication in preschool children undergoing bone marrow biopsy.
    British journal of anaesthesia, 2018, Volume: 121, Issue:2

    Topics: Administration, Inhalation; Anesthesia Recovery Period; Anxiety, Separation; Bone Marrow Examination

2018
Comparison of nebulised dexmedetomidine, ketamine, or midazolam for premedication in preschool children undergoing bone marrow biopsy.
    British journal of anaesthesia, 2018, Volume: 121, Issue:2

    Topics: Administration, Inhalation; Anesthesia Recovery Period; Anxiety, Separation; Bone Marrow Examination

2018
Comparison of nebulised dexmedetomidine, ketamine, or midazolam for premedication in preschool children undergoing bone marrow biopsy.
    British journal of anaesthesia, 2018, Volume: 121, Issue:2

    Topics: Administration, Inhalation; Anesthesia Recovery Period; Anxiety, Separation; Bone Marrow Examination

2018
Comparison of nebulised dexmedetomidine, ketamine, or midazolam for premedication in preschool children undergoing bone marrow biopsy.
    British journal of anaesthesia, 2018, Volume: 121, Issue:2

    Topics: Administration, Inhalation; Anesthesia Recovery Period; Anxiety, Separation; Bone Marrow Examination

2018
The effect of nasal midazolam premedication on parents-child separation and recovery time in dental procedures under general anaesthesia.
    European journal of paediatric dentistry, 2015, Volume: 16, Issue:2

    Topics: Administration, Intranasal; Anesthesia Recovery Period; Anesthesia, Dental; Anesthesia, General; Anx

2015
Comparison of oral ketamine and oral midazolam as sedative agents in pediatric dentistry.
    Journal of the Indian Society of Pedodontics and Preventive Dentistry, 2008, Volume: 26, Issue:3

    Topics: Administration, Oral; Anesthesia Recovery Period; Anesthesia, Dental; Anesthesia, General; Anxiety,

2008
Premedication with oral midazolam with or without parental presence.
    European journal of anaesthesiology, 2010, Volume: 27, Issue:4

    Topics: Administration, Oral; Anesthetics, Intravenous; Anxiety, Separation; Child; Child, Preschool; Dental

2010
A comparison of two different doses of rectal ketamine added to 0.5 mg x kg(-1) midazolam and 0.02 mg x kg(-1) atropine in infants and young children.
    Anaesthesia and intensive care, 2010, Volume: 38, Issue:5

    Topics: Administration, Rectal; Anesthetics, Dissociative; Anxiety, Separation; Atropine; Catheterization, C

2010
Melatonin vs. midazolam premedication in children: a double-blind, placebo-controlled study.
    European journal of anaesthesiology, 2005, Volume: 22, Issue:3

    Topics: Anesthesia Recovery Period; Anesthesia, Inhalation; Anti-Anxiety Agents; Anxiety; Anxiety, Separatio

2005
Melatonin vs. midazolam premedication in children: a double-blind, placebo-controlled study.
    European journal of anaesthesiology, 2005, Volume: 22, Issue:3

    Topics: Anesthesia Recovery Period; Anesthesia, Inhalation; Anti-Anxiety Agents; Anxiety; Anxiety, Separatio

2005
Melatonin vs. midazolam premedication in children: a double-blind, placebo-controlled study.
    European journal of anaesthesiology, 2005, Volume: 22, Issue:3

    Topics: Anesthesia Recovery Period; Anesthesia, Inhalation; Anti-Anxiety Agents; Anxiety; Anxiety, Separatio

2005
Melatonin vs. midazolam premedication in children: a double-blind, placebo-controlled study.
    European journal of anaesthesiology, 2005, Volume: 22, Issue:3

    Topics: Anesthesia Recovery Period; Anesthesia, Inhalation; Anti-Anxiety Agents; Anxiety; Anxiety, Separatio

2005
Comparative evaluation of midazolam and ketamine with midazolam alone as oral premedication.
    Paediatric anaesthesia, 2005, Volume: 15, Issue:7

    Topics: Adjuvants, Anesthesia; Administration, Oral; Anesthesia Recovery Period; Anesthetics, Dissociative;

2005
Evaluation of relatively low dose of oral transmucosal ketamine premedication in children: a comparison with oral midazolam.
    Paediatric anaesthesia, 2005, Volume: 15, Issue:8

    Topics: Administration, Buccal; Anesthesia, Inhalation; Anesthetics, Dissociative; Anxiety, Separation; Chil

2005
Injectable midazolam as oral premedicant in pediatric neurosurgery.
    Journal of neurosurgical anesthesiology, 2005, Volume: 17, Issue:4

    Topics: Age Factors; Anesthesia Recovery Period; Anesthesia, General; Anxiety, Separation; Child, Preschool;

2005
A comparison of intranasal dexmedetomidine and oral midazolam for premedication in pediatric anesthesia: a double-blinded randomized controlled trial.
    Anesthesia and analgesia, 2008, Volume: 106, Issue:6

    Topics: Administration, Intranasal; Administration, Oral; Adrenergic alpha-Agonists; Anxiety, Separation; Ch

2008
A comparison of intranasal dexmedetomidine and oral midazolam for premedication in pediatric anesthesia: a double-blinded randomized controlled trial.
    Anesthesia and analgesia, 2008, Volume: 106, Issue:6

    Topics: Administration, Intranasal; Administration, Oral; Adrenergic alpha-Agonists; Anxiety, Separation; Ch

2008
A comparison of intranasal dexmedetomidine and oral midazolam for premedication in pediatric anesthesia: a double-blinded randomized controlled trial.
    Anesthesia and analgesia, 2008, Volume: 106, Issue:6

    Topics: Administration, Intranasal; Administration, Oral; Adrenergic alpha-Agonists; Anxiety, Separation; Ch

2008
A comparison of intranasal dexmedetomidine and oral midazolam for premedication in pediatric anesthesia: a double-blinded randomized controlled trial.
    Anesthesia and analgesia, 2008, Volume: 106, Issue:6

    Topics: Administration, Intranasal; Administration, Oral; Adrenergic alpha-Agonists; Anxiety, Separation; Ch

2008
Preanesthetic medication with intranasal midazolam for brief pediatric surgical procedures. Effect on recovery and hospital discharge times.
    Anesthesiology, 1995, Volume: 82, Issue:1

    Topics: Administration, Intranasal; Anesthesia Recovery Period; Anxiety, Separation; Child, Preschool; Doubl

1995
Oral midazolam premedication for children with congenital cyanotic heart disease undergoing cardiac surgery: a comparative study.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1993, Volume: 40, Issue:10

    Topics: Administration, Oral; Administration, Rectal; Anxiety, Separation; Atropine; Awareness; Child; Child

1993
Oral midazolam premedication in children: the minimum time interval for separation from parents.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1993, Volume: 40, Issue:8

    Topics: Administration, Oral; Ambulatory Surgical Procedures; Anesthesia, Inhalation; Anxiety, Separation; C

1993
Parental presence during induction of anesthesia versus sedative premedication: which intervention is more effective?
    Anesthesiology, 1998, Volume: 89, Issue:5

    Topics: Adaptation, Psychological; Adjuvants, Anesthesia; Adult; Anesthesia; Anxiety; Anxiety, Separation; B

1998
Parental presence during induction of anesthesia versus sedative premedication: which intervention is more effective?
    Anesthesiology, 1998, Volume: 89, Issue:5

    Topics: Adaptation, Psychological; Adjuvants, Anesthesia; Adult; Anesthesia; Anxiety; Anxiety, Separation; B

1998
Parental presence during induction of anesthesia versus sedative premedication: which intervention is more effective?
    Anesthesiology, 1998, Volume: 89, Issue:5

    Topics: Adaptation, Psychological; Adjuvants, Anesthesia; Adult; Anesthesia; Anxiety; Anxiety, Separation; B

1998
Parental presence during induction of anesthesia versus sedative premedication: which intervention is more effective?
    Anesthesiology, 1998, Volume: 89, Issue:5

    Topics: Adaptation, Psychological; Adjuvants, Anesthesia; Adult; Anesthesia; Anxiety; Anxiety, Separation; B

1998
Parental presence during induction of anesthesia versus sedative premedication: which intervention is more effective?
    Anesthesiology, 1998, Volume: 89, Issue:5

    Topics: Adaptation, Psychological; Adjuvants, Anesthesia; Adult; Anesthesia; Anxiety; Anxiety, Separation; B

1998
Parental presence during induction of anesthesia versus sedative premedication: which intervention is more effective?
    Anesthesiology, 1998, Volume: 89, Issue:5

    Topics: Adaptation, Psychological; Adjuvants, Anesthesia; Adult; Anesthesia; Anxiety; Anxiety, Separation; B

1998
Parental presence during induction of anesthesia versus sedative premedication: which intervention is more effective?
    Anesthesiology, 1998, Volume: 89, Issue:5

    Topics: Adaptation, Psychological; Adjuvants, Anesthesia; Adult; Anesthesia; Anxiety; Anxiety, Separation; B

1998
Parental presence during induction of anesthesia versus sedative premedication: which intervention is more effective?
    Anesthesiology, 1998, Volume: 89, Issue:5

    Topics: Adaptation, Psychological; Adjuvants, Anesthesia; Adult; Anesthesia; Anxiety; Anxiety, Separation; B

1998
Parental presence during induction of anesthesia versus sedative premedication: which intervention is more effective?
    Anesthesiology, 1998, Volume: 89, Issue:5

    Topics: Adaptation, Psychological; Adjuvants, Anesthesia; Adult; Anesthesia; Anxiety; Anxiety, Separation; B

1998
Effectiveness of preoperative sedation with rectal midazolam, ketamine, or their combination in young children.
    Anesthesia and analgesia, 1992, Volume: 75, Issue:6

    Topics: Administration, Rectal; Anxiety, Separation; Atropine; Catheterization, Central Venous; Child; Child

1992
Behavioural changes in children following minor surgery--is premedication beneficial?
    Acta anaesthesiologica Belgica, 1992, Volume: 43, Issue:3

    Topics: Anxiety, Separation; Child; Child Behavior; Child, Preschool; Enuresis; Feeding Behavior; Hernia, In

1992
Premedication of children with oral midazolam.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1992, Volume: 39, Issue:6

    Topics: Acoustic Stimulation; Ambulatory Surgical Procedures; Anesthesia Recovery Period; Anxiety, Separatio

1992

Other Studies

3 other studies available for midazolam and Anxiety, Separation

ArticleYear
Pre-medication before dental procedures: A randomized controlled study comparing intranasal dexmedetomidine with oral midazolam.
    Acta anaesthesiologica Scandinavica, 2019, Volume: 63, Issue:9

    Topics: Administration, Intranasal; Administration, Oral; Anxiety, Separation; Child; Child Behavior; Child,

2019
Parental intervention choices for children undergoing repeated surgeries.
    Anesthesia and analgesia, 2003, Volume: 96, Issue:4

    Topics: Anesthesia; Anxiety; Anxiety, Separation; Child; Child, Preschool; Chronic Disease; Female; Humans;

2003
Oral midazolam in children: the effect at time and adjunct therapy.
    Anesthesia and analgesia, 1993, Volume: 76, Issue:4

    Topics: Administration, Oral; Anxiety, Separation; Child; Clinical Trials as Topic; Cohort Studies; Double-B

1993