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.
Excerpt | Relevance | Reference |
---|---|---|
"We studied the role of a low-dose intravenous (IV) ketamine-midazolam combination in the management of severe painful sickle cell crisis." | 7.80 | The 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." | 3.80 | The 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." | 1.37 | Sickle cell disease, dentistry and conscious sedation. ( Boyle, C; Bryant, C, 2011) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 2 (40.00) | 18.2507 |
2000's | 0 (0.00) | 29.6817 |
2010's | 3 (60.00) | 24.3611 |
2020's | 0 (0.00) | 2.80 |
Authors | Studies |
---|---|
Tawfic, QA | 1 |
Faris, AS | 1 |
Kausalya, R | 1 |
Belmont, AP | 1 |
Nossair, F | 1 |
Brambilla, D | 1 |
Friedman, M | 1 |
Boswinkel, J | 1 |
Bradford, AB | 1 |
Kwiatkowski, JL | 1 |
Bryant, C | 1 |
Boyle, C | 1 |
Stillwell, R | 1 |
Mangar, D | 1 |
Mohamed, SA | 1 |
Markowsky, S | 1 |
Kingsley, CP | 1 |
Chronister, T | 1 |
Cohen, DJ | 1 |
Parrish, JM | 1 |
Drew, R | 1 |
Bongiovanni, MB | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
Adjuvant Low-dose Ketamine in Pediatric Sickle Cell Vaso-occlusive Crisis (AKTSS)[NCT03296345] | Phase 2 | 62 participants (Actual) | Interventional | 2016-06-30 | Completed | ||
Ketamine Infusion for Acute Sickle Cell crisiS in the Emergency Department[NCT02417298] | 12 participants (Actual) | Interventional | 2015-11-30 | Terminated (stopped due to Feasibility) | |||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
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
Intervention | percent change (Mean) |
---|---|
Intervention | -15 |
"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
Intervention | percentage of participants (Number) |
---|---|
Intervention | 33 |
Historical Control | 17 |
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
Intervention | Score on a scale (Mean) |
---|---|
Intervention | 9.23 |
Historical Control | 9.08 |
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)
Intervention | Score on a scale (Mean) |
---|---|
Intervention | 7.15 |
Historical Control | 7.26 |
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
Intervention | LOS in minutes (Mean) |
---|---|
Intervention | 273.5 |
Historical Control | 217.3 |
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
Intervention | time to 50% pain reduction in minutes (Mean) |
---|---|
Intervention | 116.1 |
Historical Control | 167.3 |
"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
Intervention | Participants (Count of Participants) | ||
---|---|---|---|
Achieved faster pain relief? | Achieved more complete pain relief? | Desire to receive LDK in the future? | |
Intervention | 43 | 30 | 49 |
5 other studies available for midazolam and HbS Disease
Article | Year |
---|---|
The role of a low-dose ketamine-midazolam regimen in the management of severe painful crisis in patients with sickle cell disease.
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.
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.
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.
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.
Topics: Acute Chest Syndrome; Adjuvants, Anesthesia; Anemia, Sickle Cell; Child; Child, Preschool; Deep Seda | 2015 |
Sickle cell disease, dentistry and conscious sedation.
Topics: Adult; Anemia, Sickle Cell; Anesthesia, Dental; Anesthetics, Intravenous; Black People; Conscious Se | 2011 |
Intraoperative awareness and recall during total hip arthroplasty.
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.
Topics: Anemia, Sickle Cell; Anesthesia, Intravenous; Anesthetics, Intravenous; Cardiopulmonary Bypass; Eryt | 1996 |