Page last updated: 2024-10-31

midazolam and HbS Disease

midazolam has been researched along with HbS Disease in 5 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 studied the role of a low-dose intravenous (IV) ketamine-midazolam combination in the management of severe painful sickle cell crisis."7.80The role of a low-dose ketamine-midazolam regimen in the management of severe painful crisis in patients with sickle cell disease. ( Faris, AS; Kausalya, R; Tawfic, QA, 2014)
"We studied the role of a low-dose intravenous (IV) ketamine-midazolam combination in the management of severe painful sickle cell crisis."3.80The role of a low-dose ketamine-midazolam regimen in the management of severe painful crisis in patients with sickle cell disease. ( Faris, AS; Kausalya, R; Tawfic, QA, 2014)
"Since patients with sickle cell disease are particularly vulnerable to the effects of periods of hypoxia, which may produce significant morbidity, and because of the additional practical challenges in sedating this group of patients, intravenous sedation should be undertaken in a specialist unit."1.37Sickle cell disease, dentistry and conscious sedation. ( Boyle, C; Bryant, C, 2011)

Research

Studies (5)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (40.00)18.2507
2000's0 (0.00)29.6817
2010's3 (60.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Tawfic, QA1
Faris, AS1
Kausalya, R1
Belmont, AP1
Nossair, F1
Brambilla, D1
Friedman, M1
Boswinkel, J1
Bradford, AB1
Kwiatkowski, JL1
Bryant, C1
Boyle, C1
Stillwell, R1
Mangar, D1
Mohamed, SA1
Markowsky, S1
Kingsley, CP1
Chronister, T1
Cohen, DJ1
Parrish, JM1
Drew, R1
Bongiovanni, MB1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Adjuvant Low-dose Ketamine in Pediatric Sickle Cell Vaso-occlusive Crisis (AKTSS)[NCT03296345]Phase 262 participants (Actual)Interventional2016-06-30Completed
Ketamine Infusion for Acute Sickle Cell crisiS in the Emergency Department[NCT02417298]12 participants (Actual)Interventional2015-11-30Terminated (stopped due to Feasibility)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Effect of Low-dose Ketamine (LDK) on Opioid Usage in the ED

Opioid usage for at least one but up to three prior patient visits in the last one year for each patient enrolled in the study was summarized, expressed as morphine equivalents in mg/kg/h, to account for different types of opioids used per patient preference, and then this was compared to the intervention group that received LDK. Percent change in opioid usage (expressed as morphine equivalents in mg/kg/h) is reported). (NCT03296345)
Timeframe: Up to one year prior and after LDK administration on day 1 of the study in the ED

Interventionpercent change (Mean)
Intervention-15

Effect of Low-dose Ketamine on Discharge Rates From the ED

"Percent discharge from the ED for intervention group and for at least one but up to three visits prior to receipt of ketamine in the last one year, were assessed. Participants were assigned a 0 if discharged or 1 if not discharged." (NCT03296345)
Timeframe: Up to one year prior to receipt of ketamine for the historical control arm/group and up to 18 months for the intervention arm/group

Interventionpercentage of participants (Number)
Intervention33
Historical Control17

Effect of Low-dose Ketamine on Pain Scores on Presentation to the ED

Patient pain scores at presentation for the enrolled encounters and for at least one but up to three visits prior to receipt of ketamine in the last one year, were assessed. At least one but up to three prior visits were averaged and compared to the intervention visit. Pain was assessed using the faces pain scale which consists of a series of line diagrams of faces with expressions of increasing distress. The score ranges from 0 (no pain) to 10 (the worst pain). (NCT03296345)
Timeframe: Up to one year prior and on presentation to the ED after LDK administration

InterventionScore on a scale (Mean)
Intervention9.23
Historical Control9.08

Effect of Low-dose Ketamine on Patient Pain Scores on Discharge From the ED/Admission to the Hospital

Patient pain scores at time of discharge from the ED/admission to the hospital for at least one but up to three visits prior to receipt of ketamine in the last one year, were assessed. At least one but up to three prior visits were averaged and compared to the intervention visit. Pain scores post receipt of ketamine are presented for the intervention group. Pain was assessed using the faces pain scale which consists of a series of line diagrams of faces with expressions of increasing distress. The score ranges from 0 (no pain) to 10 (the worst pain). (NCT03296345)
Timeframe: At time of discharge from the ED/admission to the hospital (up to one year prior and after LDK administration)

InterventionScore on a scale (Mean)
Intervention7.15
Historical Control7.26

Effect of Low-dose Ketamine on Percent Difference of Length of Stay (LOS) in the ED

Length of stay (LOS) in minutes in the ED for at least one but up to three visits prior to receipt of ketamine in the last one year, were assessed. (NCT03296345)
Timeframe: Up to one year prior to and after LDK administration on day 1 of the study in the ED

InterventionLOS in minutes (Mean)
Intervention273.5
Historical Control217.3

Effect of Low-dose Ketamine on Time to 50% Pain Reduction

Time to 50% pain reduction (pain reported 50% less than baseline) in minutes for at least one but up to three visits prior to receipt of ketamine in the last one year, were assessed as historical controls. Pain was assessed using the faces pain scale which consists of a series of line diagrams of faces with expressions of increasing distress. The score ranges from 0 (no pain) to 10 (the worst pain). (NCT03296345)
Timeframe: Up to one year prior to and after LDK administration on day 1 of the study in the ED

Interventiontime to 50% pain reduction in minutes (Mean)
Intervention116.1
Historical Control167.3

Subjective Effect of Low Dose Ketamine on Pain Relief Assessed Via a Patient Survey

"After receipt of LDK, patients and/or their parents, based on age, filled out a survey based on a Likert scale regarding their agreement (Strongly Disagree to Strongly Agree) with the following statements: Achieved faster pain relief with LDK, Achieved more complete pain relief with LDK, and Desire to receive LDK in a future vaso-occlusive crisis. There is also an area where patients could provide general comments regarding their experience in receiving LDK.~Count of Participants who agree or strongly agree for each question are reported." (NCT03296345)
Timeframe: after LDK administration on day 1 of the study in the ED

InterventionParticipants (Count of Participants)
Achieved faster pain relief?Achieved more complete pain relief?Desire to receive LDK in the future?
Intervention433049

Other Studies

5 other studies available for midazolam and HbS Disease

ArticleYear
The role of a low-dose ketamine-midazolam regimen in the management of severe painful crisis in patients with sickle cell disease.
    Journal of pain and symptom management, 2014, Volume: 47, Issue:2

    Topics: Administration, Intravenous; Adolescent; Adult; Analgesics; Analgesics, Opioid; Anemia, Sickle Cell;

2014
The role of a low-dose ketamine-midazolam regimen in the management of severe painful crisis in patients with sickle cell disease.
    Journal of pain and symptom management, 2014, Volume: 47, Issue:2

    Topics: Administration, Intravenous; Adolescent; Adult; Analgesics; Analgesics, Opioid; Anemia, Sickle Cell;

2014
The role of a low-dose ketamine-midazolam regimen in the management of severe painful crisis in patients with sickle cell disease.
    Journal of pain and symptom management, 2014, Volume: 47, Issue:2

    Topics: Administration, Intravenous; Adolescent; Adult; Analgesics; Analgesics, Opioid; Anemia, Sickle Cell;

2014
The role of a low-dose ketamine-midazolam regimen in the management of severe painful crisis in patients with sickle cell disease.
    Journal of pain and symptom management, 2014, Volume: 47, Issue:2

    Topics: Administration, Intravenous; Adolescent; Adult; Analgesics; Analgesics, Opioid; Anemia, Sickle Cell;

2014
Safety of deep sedation in young children with sickle cell disease: a retrospective cohort study.
    The Journal of pediatrics, 2015, Volume: 166, Issue:5

    Topics: Acute Chest Syndrome; Adjuvants, Anesthesia; Anemia, Sickle Cell; Child; Child, Preschool; Deep Seda

2015
Sickle cell disease, dentistry and conscious sedation.
    Dental update, 2011, Volume: 38, Issue:7

    Topics: Adult; Anemia, Sickle Cell; Anesthesia, Dental; Anesthetics, Intravenous; Black People; Conscious Se

2011
Intraoperative awareness and recall during total hip arthroplasty.
    Nurse anesthesia, 1993, Volume: 4, Issue:2

    Topics: Adult; Amnesia; Anemia, Sickle Cell; Drug Tolerance; Female; Hip Prosthesis; Humans; Midazolam; Narc

1993
Case 2--1996. Anesthetic management of a patient with hemoglobin SS disease and mitral insufficiency for mitral valve repair.
    Journal of cardiothoracic and vascular anesthesia, 1996, Volume: 10, Issue:3

    Topics: Anemia, Sickle Cell; Anesthesia, Intravenous; Anesthetics, Intravenous; Cardiopulmonary Bypass; Eryt

1996