midazolam has been researched along with Cardiovascular Diseases in 13 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.
Cardiovascular Diseases: Pathological conditions involving the CARDIOVASCULAR SYSTEM including the HEART; the BLOOD VESSELS; or the PERICARDIUM.
Excerpt | Relevance | Reference |
---|---|---|
"The routine use of fentanyl and midazolam prior to sheath removal leads to a reduction in pain perception and vasovagal incidence, whilst the routine use of local infiltration during sheath removal should be discouraged as it leads to more pain and a trend to more vasovagal reactions." | 5.12 | Effect of local anesthesia and intravenous sedation on pain perception and vasovagal reactions during femoral arterial sheath removal after percutaneous coronary intervention. ( French, JK; Juergens, CP; Kiat Ang, C; Leung, DY; Lo, S, 2007) |
"Total intravenous anesthesia with propofol provides better hemodynamic stability for ASA III patients with concomitant cardiovascular diseases then GBA." | 3.78 | [Hemodynamic stability in total intravenous propofol anesthesia with midazolam coinduction versus general balanced anaesthesia in laparoscopic cholecystectomy]. ( Djordjević, D; Jovanović, D; Novaković, M; Radaković, S; Surbatović, M; Vesić, Z; Zeba, S, 2012) |
" Patients receiving ketamine with or without midazolam experienced fewer respiratory adverse events but more vomiting than the commonly used combination of midazolam and fentanyl." | 3.73 | Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs. ( Bajaj, L; Bothner, JP; Roback, MG; Wathen, JE, 2005) |
"Recent studies have shown that etomidate is associated with fewer serious adverse events than propofol and has a noninferior sedative effect." | 2.87 | Efficacy and safety of etomidate-midazolam for screening colonoscopy in the elderly: A prospective double-blinded randomized controlled study. ( Choi, HS; Choi, SJ; Chun, HJ; Jeen, YT; Keum, B; Kim, CD; Kim, ES; Kim, SH; Kim, W; Lee, BJ; Lee, HS; Lee, JM; Min, G; Park, JJ, 2018) |
"The total incidence of major arrhythmias was 10 % and the incidence of minor arrhythmias was 62 %." | 2.71 | Sedation for fiberoptic bronchoscopy: fewer adverse cardiovascular effects with propofol than with midazolam. ( Cakan, A; Deren, S; Gülerçe, G; Olgaç, G; Ozsöz, A; Oztürk, T, 2004) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 1 (7.69) | 18.7374 |
1990's | 3 (23.08) | 18.2507 |
2000's | 5 (38.46) | 29.6817 |
2010's | 4 (30.77) | 24.3611 |
2020's | 0 (0.00) | 2.80 |
Authors | Studies |
---|---|
Lee, JM | 4 |
Min, G | 2 |
Kim, SH | 2 |
Choi, HS | 2 |
Kim, ES | 2 |
Keum, B | 2 |
Jeen, YT | 2 |
Chun, HJ | 2 |
Lee, HS | 2 |
Kim, CD | 2 |
Park, JJ | 1 |
Lee, BJ | 1 |
Choi, SJ | 1 |
Kim, W | 1 |
Seo, YS | 1 |
Um, SH | 1 |
Döbrönte, Z | 1 |
Szenes, M | 1 |
Gasztonyi, B | 1 |
Csermely, L | 1 |
Kovács, M | 1 |
Lakatos, L | 1 |
Lakner, L | 1 |
Mester, G | 1 |
Pandur, T | 1 |
Patai, A | 1 |
Pák, P | 1 |
Pécsi, G | 1 |
Rácz, I | 1 |
Sarang, K | 1 |
Stöckert, A | 1 |
Székely, A | 1 |
Varga Szabó, L | 1 |
Surbatović, M | 1 |
Vesić, Z | 1 |
Djordjević, D | 1 |
Radaković, S | 1 |
Zeba, S | 1 |
Jovanović, D | 1 |
Novaković, M | 1 |
Oztürk, T | 1 |
Cakan, A | 1 |
Gülerçe, G | 1 |
Olgaç, G | 1 |
Deren, S | 1 |
Ozsöz, A | 1 |
Figurska, M | 1 |
Płocnarska, E | 1 |
Stankiewicz, A | 1 |
Rybicki, Z | 1 |
Rekas, M | 1 |
Roback, MG | 1 |
Wathen, JE | 1 |
Bajaj, L | 1 |
Bothner, JP | 1 |
Kiat Ang, C | 1 |
Leung, DY | 1 |
Lo, S | 1 |
French, JK | 1 |
Juergens, CP | 1 |
Weber, MD | 1 |
Thammasitboon, S | 1 |
Rosen, DA | 1 |
Venn, RM | 1 |
Bradshaw, CJ | 1 |
Spencer, R | 1 |
Brealey, D | 1 |
Caudwell, E | 1 |
Naughton, C | 1 |
Vedio, A | 1 |
Singer, M | 1 |
Feneck, R | 1 |
Treacher, D | 1 |
Willatts, SM | 1 |
Grounds, RM | 1 |
Chollet-Rivier, M | 1 |
Ravussin, P | 1 |
Marty, J | 1 |
Nitenberg, A | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
A Comparison of Dexmedetomidine Versus Propofol for Use in Intravenous Sedation[NCT03255824] | Phase 4 | 144 participants (Actual) | Interventional | 2018-03-20 | Completed | ||
Comparison of Ketamine Versus Co-Administration of Ketamine and Propofol for Procedural Sedation in a Pediatric Emergency Department[NCT01387139] | Phase 3 | 183 participants (Actual) | Interventional | 2011-01-31 | Completed | ||
US Guided Interscalene Block Compared With Sedation for Shoulder Dislocation Reduction in the ER[NCT03041506] | 90 participants (Anticipated) | Interventional | 2017-02-15 | Not yet recruiting | |||
Positive Imagery Therapy and the Incidence of Emergence Reactions With the Use of Ketamine[NCT04746079] | 180 participants (Anticipated) | Interventional | 2021-02-05 | Recruiting | |||
Protocolized Initiation of Clonidine to Prevent Dexmedetomidine Withdrawal: A Prospective Cohort Study[NCT05575219] | Phase 4 | 300 participants (Anticipated) | Interventional | 2022-10-08 | Recruiting | ||
Comparison of Dexmedetomidine and Propofol-Remifentanil Conscious Sedation for Awake Craniotomy for Tumor Surgery: a Randomized Controlled Trial[NCT01545297] | 50 participants (Actual) | Interventional | 2012-11-30 | Completed | |||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
Surgeon satisfaction is measured by the Cooperation Scale. Minimum score of 0 and maximum of 9. Higher indicates a worse outcome (i.e., discomfort and movement) (NCT03255824)
Timeframe: 15 minutes following surgery
Intervention | score on a scale (Mean) |
---|---|
Propofol Group | 2.07 |
Dexmedetomidine Group | 1.47 |
"To compare the differences in hemodynamic stability using a D/M combination compared to the MFP combination. (In this study, a deviation from baseline by 20% or greater will be considered clinically significant)~a. Change in blood pressure (NIBP) (change ≥ 20%) Blood pressure is presented as mean arterial pressure" (NCT03255824)
Timeframe: During the procedure, up to 40 minutes
Intervention | mm Hg (Mean) |
---|---|
Propofol Group | 78 |
Dexmedetomidine Group | 88 |
"To compare the differences in hemodynamic stability using a D/M combination compared to the MFP combination. (In this study, a deviation from baseline of both the blood pressure and heart rate by 20% or greater will be considered clinically significant)~a. Change in heart rate (change ≥ 20 BPM)" (NCT03255824)
Timeframe: During the procedure, up to 40 minutes
Intervention | beats per minute (Mean) |
---|---|
Propofol Group | 77 |
Dexmedetomidine Group | 62 |
"Visual Analog Scale was used to measure overall satisfaction with the IV sedation and memory of the procedure.~The minimum score is 0 (not satisfied at all) to a maximum score of 100 (completely satisfied).~A higher score is a better outcome." (NCT03255824)
Timeframe: 30 minutes following surgery
Intervention | score on a scale (Mean) |
---|---|
Propofol Group | 93.5 |
Dexmedetomidine Group | 86.6 |
"To assess whether a D/M combination increases postoperative recovery time when compared the MFP combination.~a. Time to ambulation (to recovery room) will be recorded" (NCT03255824)
Timeframe: After the procedure until ambulation, up to 20 minutes
Intervention | minutes (Mean) |
---|---|
Propofol Group | 10.8 |
Dexmedetomidine Group | 11.6 |
"To assess whether a D/M combination increases postoperative recovery time when compared the MFP combination.~a. Duration of procedure will be recorded" (NCT03255824)
Timeframe: During the procedure, up to 40 minutes
Intervention | MINUTES (Mean) |
---|---|
Propofol Group | 24.2 |
Dexmedetomidine Group | 22.1 |
"To assess whether a D/M combination increases postoperative recovery time when compared the MFP combination.~a. Time to discharge or virtual discharge (comparative statistic) - Aldrete score of ≥ 9 or pre-procedure score is met The minimum score is 0 and the maximum score is 10. A higher score indicates wakefulness, hemodynamically stable, and able to ambulate.~ii. All subjects are required to stay a minimum of 30 minutes after the end of the procedure. Therefore, at least two postoperative vital sign readings will be obtained. If the subject meets discharge criteria prior to 30 minutes, this time will be the virtual discharge time" (NCT03255824)
Timeframe: After the procedure until discharge, up to 45 minutes
Intervention | minutes (Mean) |
---|---|
Propofol Group | 26.5 |
Dexmedetomidine Group | 29.9 |
"To compare the groups regarding movement of the patient during the first injection of local anesthesia during the IVS at time of injection measured using the Behavioral Pain Scale - Non-Intubated patients.~The minimum value is 3 and the maximum value is 12. Higher scores mean a worse outcome (i.e., more pain and movement on injection)" (NCT03255824)
Timeframe: During the first injection of local anesthesia during surgery
Intervention | score on a scale (Mean) |
---|---|
Propofol Group | 3.9 |
Dexmedetomidine Group | 4.2 |
"To assess whether a D/M combination leads to a significant change in respiratory depression compared to the MFP combination.~a. Change in arterial oxygen saturation (as measured by pulse oximeter) i. number of events of ≤92%" (NCT03255824)
Timeframe: During the procedure, up to 40 minutes
Intervention | Saturation percent (Mean) |
---|---|
Propofol Group | 98.7 |
Dexmedetomidine Group | 98.9 |
"To assess whether a D/M combination leads to a significant change in respiratory depression compared to the MFP combination.~a. Change in respiratory rate (change ≥ 20%)" (NCT03255824)
Timeframe: During the procedure, up to 40 minutes
Intervention | breaths per minute (Mean) |
---|---|
Propofol Group | 18 |
Dexmedetomidine Group | 18 |
To compare the groups regarding the number of respiratory events requiring intervention, described as: Chin lift/jaw thrust, Tongue thrust, Yankauer suctioning, Positive pressure oxygen administration, Placement of an oral or nasal airway. (NCT03255824)
Timeframe: During surgery
Intervention | Participants (Count of Participants) |
---|---|
Propofol Group | 17 |
Dexmedetomidine Group | 2 |
"Surgeon satisfaction was measured by the surgeon grading the Operating Conditions scale.~The minimum value was 0 and the maximum was 3. 0=very poor, 1=poor, 2=fair, 3=good" (NCT03255824)
Timeframe: 15 minutes following surgery
Intervention | score on a scale (Mean) |
---|---|
Propofol Group | 2.8 |
Dexmedetomidine Group | 2.9 |
"Efficacy is defined as:~The patient does not have unpleasant recall of the procedure.~The patient did not experience sedation-related adverse events resulting in abandonment of the procedure or a permanent complication or an unplanned admission to the hospital or prolonged emergency department (ED) observation~The patient did not actively resist or require physical restraint for completion of the procedure. The need for minimal redirection of movements should not be considered as active resistance or physical restraint.~The procedure was successful" (NCT01387139)
Timeframe: After procedure is completed, on average less than 1 hour
Intervention | participants (Number) |
---|---|
Ketamine Alone | 97 |
Ketamine Co-Administered With Propofol | 81 |
Measured on a 10-point scale (1= least satisfied, 10= most satisfied) (NCT01387139)
Timeframe: After procedure is completed, on average less than 1 hour
Intervention | units on a scale (Median) |
---|---|
Ketamine Alone | 10 |
Ketamine Co-Administered With Propofol | 8 |
Measured on a 10-point scale (1= least satisfied, 10= most satisfied) (NCT01387139)
Timeframe: After procedure is completed, on average less than 1 hour
Intervention | units on a scale (1-10) (Median) |
---|---|
Ketamine Alone | 10 |
Ketamine Co-Administered With Propofol | 10 |
Measured on a 10-point scale (1= least satisfied, 10= most satisfied) (NCT01387139)
Timeframe: After procedure is completed, on average less than 1 hour
Intervention | units on a scale (Median) |
---|---|
Ketamine Alone | 9 |
Ketamine Co-Administered With Propofol | 8 |
Time until the patient has a Vancouver Sedation Recovery Scale Score of 18 or greater. (NCT01387139)
Timeframe: Once Vancouver Sedation Recovery Scale Score reaches 18 or greater, on average less than 1 hour
Intervention | minutes (Median) |
---|---|
Ketamine Alone | 44 |
Ketamine Co-Administered With Propofol | 43.5 |
We will record all adverse events during the sedation, and then perform a follow-up call to determine if any additional adverse events occured after discharge. (NCT01387139)
Timeframe: From enrollment through completion of follow-up, up to 7 days
Intervention | participants (Number) | |||
---|---|---|---|---|
Respiratory depression | Cardiovascular event | vomiting/retching | Unpleasant recovery reaction | |
Ketamine Alone | 12 | 1 | 21 | 4 |
Ketamine Co-Administered With Propofol | 15 | 0 | 18 | 2 |
1 review available for midazolam and Cardiovascular Diseases
Article | Year |
---|---|
Midazolam--is antagonism justified?
Topics: Adult; Aged; Cardiovascular Diseases; Flumazenil; Humans; Midazolam; Respiratory Insufficiency | 1988 |
6 trials available for midazolam and Cardiovascular Diseases
Article | Year |
---|---|
Efficacy and safety of etomidate-midazolam for screening colonoscopy in the elderly: A prospective double-blinded randomized controlled study.
Topics: Aged; Anesthetics, Intravenous; Cardiovascular Diseases; Colonoscopy; Double-Blind Method; Etomidate | 2018 |
Using Etomidate and Midazolam for Screening Colonoscopies Results in More Stable Hemodynamic Responses in Patients of All Ages.
Topics: Adult; Aged; Cardiovascular Diseases; Colonic Diseases; Colonoscopy; Double-Blind Method; Etomidate; | 2019 |
Sedation for fiberoptic bronchoscopy: fewer adverse cardiovascular effects with propofol than with midazolam.
Topics: Anesthetics, Intravenous; Arrhythmias, Cardiac; Bronchoscopy; Cardiovascular Diseases; Cardiovascula | 2004 |
Effect of local anesthesia and intravenous sedation on pain perception and vasovagal reactions during femoral arterial sheath removal after percutaneous coronary intervention.
Topics: Aged; Anesthetics, Local; Angioplasty, Balloon, Coronary; Bradycardia; Cardiovascular Diseases; Cons | 2007 |
Preliminary UK experience of dexmedetomidine, a novel agent for postoperative sedation in the intensive care unit.
Topics: Adolescent; Adrenergic alpha-Agonists; Adult; Aged; Cardiovascular Diseases; Conscious Sedation; Cri | 1999 |
Midazolam-flumazenil vs. propofol in ambulatory ENT endoscopic procedures.
Topics: Adolescent; Adult; Aged; Aged, 80 and over; Ambulatory Care; Anesthesia Recovery Period; Anesthesia, | 1992 |
6 other studies available for midazolam and Cardiovascular Diseases
Article | Year |
---|---|
[Role of pulse oximetric monitoring during gastrointestinal endoscopy. Prospective multicenter study of the Gastroenterology Working Group of the Veszprém Regional Committee of the Hungarian Academy of Sciences (VEAB)].
Topics: Adjuvants, Anesthesia; Age Factors; Aged; Aged, 80 and over; Cardiovascular Diseases; Cholangiopancr | 2013 |
[Hemodynamic stability in total intravenous propofol anesthesia with midazolam coinduction versus general balanced anaesthesia in laparoscopic cholecystectomy].
Topics: Adult; Aged; Anesthesia, Intravenous; Anesthetics, Combined; Anesthetics, Intravenous; Arterial Pres | 2012 |
[Monitoring of blood pressure during phacotrabeculectomy].
Topics: Aged; Aged, 80 and over; Anesthetics, Intravenous; Blood Pressure; Blood Pressure Determination; Car | 2004 |
Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Topics: Adolescent; Adult; Analgesia; Analgesics; Cardiovascular Diseases; Child; Child, Preschool; Cohort S | 2005 |
Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Topics: Adolescent; Adult; Analgesia; Analgesics; Cardiovascular Diseases; Child; Child, Preschool; Cohort S | 2005 |
Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Topics: Adolescent; Adult; Analgesia; Analgesics; Cardiovascular Diseases; Child; Child, Preschool; Cohort S | 2005 |
Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Topics: Adolescent; Adult; Analgesia; Analgesics; Cardiovascular Diseases; Child; Child, Preschool; Cohort S | 2005 |
Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Topics: Adolescent; Adult; Analgesia; Analgesics; Cardiovascular Diseases; Child; Child, Preschool; Cohort S | 2005 |
Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Topics: Adolescent; Adult; Analgesia; Analgesics; Cardiovascular Diseases; Child; Child, Preschool; Cohort S | 2005 |
Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Topics: Adolescent; Adult; Analgesia; Analgesics; Cardiovascular Diseases; Child; Child, Preschool; Cohort S | 2005 |
Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Topics: Adolescent; Adult; Analgesia; Analgesics; Cardiovascular Diseases; Child; Child, Preschool; Cohort S | 2005 |
Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Topics: Adolescent; Adult; Analgesia; Analgesics; Cardiovascular Diseases; Child; Child, Preschool; Cohort S | 2005 |
Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Topics: Adolescent; Adult; Analgesia; Analgesics; Cardiovascular Diseases; Child; Child, Preschool; Cohort S | 2005 |
Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Topics: Adolescent; Adult; Analgesia; Analgesics; Cardiovascular Diseases; Child; Child, Preschool; Cohort S | 2005 |
Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Topics: Adolescent; Adult; Analgesia; Analgesics; Cardiovascular Diseases; Child; Child, Preschool; Cohort S | 2005 |
Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Topics: Adolescent; Adult; Analgesia; Analgesics; Cardiovascular Diseases; Child; Child, Preschool; Cohort S | 2005 |
Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Topics: Adolescent; Adult; Analgesia; Analgesics; Cardiovascular Diseases; Child; Child, Preschool; Cohort S | 2005 |
Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Topics: Adolescent; Adult; Analgesia; Analgesics; Cardiovascular Diseases; Child; Child, Preschool; Cohort S | 2005 |
Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Topics: Adolescent; Adult; Analgesia; Analgesics; Cardiovascular Diseases; Child; Child, Preschool; Cohort S | 2005 |
Acute discontinuation syndrome from dexmedetomidine after protracted use in a pediatric patient.
Topics: Analgesia, Epidural; Blood Pressure; Cardiac Catheterization; Cardiovascular Diseases; Child, Presch | 2008 |
The use of midazolam and flumazenil in cardiovascular diagnostic and therapeutic procedures.
Topics: Cardiovascular Diseases; Coronary Circulation; Female; Flumazenil; Humans; Male; Midazolam; Myocardi | 1990 |