Page last updated: 2024-10-31

midazolam and Hypercapnia

midazolam has been researched along with Hypercapnia in 11 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.

Hypercapnia: A clinical manifestation of abnormal increase in the amount of carbon dioxide in arterial blood.

Research Excerpts

ExcerptRelevanceReference
"Patients receiving midazolam had a more than doubled risk of respiratory depression as mirrored by hypercapnia and acidosis, but not hypoxemia."7.88Midazolam addition to analgosedation for pulmonary vein isolation may increase risk of hypercapnia and acidosis. ( Bürkle, G; Ehrlich, JR; Feurich, F; Kaess, BM, 2018)
"Patients receiving midazolam had a more than doubled risk of respiratory depression as mirrored by hypercapnia and acidosis, but not hypoxemia."3.88Midazolam addition to analgosedation for pulmonary vein isolation may increase risk of hypercapnia and acidosis. ( Bürkle, G; Ehrlich, JR; Feurich, F; Kaess, BM, 2018)
"The initial dosage introduced sedation before procedure was significantly higher in group 1."2.78Administration of additional analgesics can decrease the incidence of paradoxical reactions in patients under benzodiazepine-induced sedation during endoscopic transpapillary procedures: prospective randomized controlled trial. ( Inomata, M; Terui, T, 2013)
"Targeted temperature management after cardiac arrest requires deep sedation to prevent shivering and discomfort."1.46Isoflurane Sedation on the ICU in Cardiac Arrest Patients Treated With Targeted Temperature Management: An Observational Propensity-Matched Study. ( Engels, M; Jörres, A; Krannich, A; Kruse, J; Leithner, C; Nee, J; Petzinka, V; Schröder, T; Storm, C, 2017)

Research

Studies (11)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (27.27)18.2507
2000's2 (18.18)29.6817
2010's5 (45.45)24.3611
2020's1 (9.09)2.80

Authors

AuthorsStudies
Strohleit, D1
Galetin, T1
Kosse, N1
Lopez-Pastorini, A1
Stoelben, E1
Mercado-Longoría, R1
Armeaga-Azoños, C1
Tapia-Orozco, J1
González-Aguirre, JE1
Kaess, BM1
Feurich, F1
Bürkle, G1
Ehrlich, JR1
Miyoshi, H1
Shimatani, M1
Kato, K1
Sumimoto, K1
Kurishima, A1
Kusuda, T1
Fukata, N1
Ikeura, T1
Takaoka, M1
Okazaki, K1
Krannich, A1
Leithner, C1
Engels, M1
Nee, J1
Petzinka, V1
Schröder, T1
Jörres, A1
Kruse, J1
Storm, C1
Terui, T1
Inomata, M1
De Jonghe, B1
Mora, CT1
Torjman, M1
White, PF1
Mak, KH1
Wang, YT1
Cheong, TH1
Poh, SC1
Blouin, RT1
Conard, PF1
Perreault, S1
Gross, JB1
Takahashi, K1
Nosaka, S1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Non-anesthesiologist-administered Propofol is Not Related to a Higher Increase in Transcutaneous CO2 Pressure During the Flexible Bronchoscopy Compared to Guideline-based Sedation: A Randomized Controlled Trial[NCT02820051]91 participants (Actual)Interventional2014-02-28Completed
A Phase 3, Multicenter, Randomized, Controlled, Open Label, Assessor-Blinded Study to Evaluate the Efficacy and Safety of Inhaled Isoflurane Delivered Via the Sedaconda ACD-S Compared to Intravenous Propofol for Sedation of Mechanically Ventilated Intensi[NCT05327296]Phase 3235 participants (Anticipated)Interventional2022-06-30Recruiting
A Phase 3, Multicenter, Randomized, Controlled, Open Label, Assessor-Blinded Study to Evaluate the Efficacy and Safety of Inhaled Isoflurane Delivered Via the Sedaconda ACD-S Compared to Intravenous Propofol for Sedation of Mechanically Ventilated Intensi[NCT05312385]Phase 3235 participants (Anticipated)Interventional2022-04-28Recruiting
Etomidate With Meperidine vs Midazolam With Meperidine for Sedation During Endodscopic Retrograde Cholangiopancreatogram (ERCP)[NCT02027311]Phase 463 participants (Actual)Interventional2013-04-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Event of Hypoxia

Hypoxia defined as peripheral blood oxygen saturation measured by pulse oxymeter < 90% (NCT02027311)
Timeframe: Every 5min in Preoperative, intraoperative phase and 15 min in Recovery phase

InterventionHypoxia events (Number)
Midazolam19
Etomidate27

Number of Intervention

The frequency of intervention which was defined as any restraint of the patient's head, arms, or legs if they became agitated, or if patient movement was not controlled with verbal instruction from the endoscopist during the whole intraoperative phases. (NCT02027311)
Timeframe: Throughout the whole ERCP procedure

InterventionNumber of intervention (Mean)
Etomidate1.9
Midazolam7.5

Reviews

1 review available for midazolam and Hypercapnia

ArticleYear
Guidelines on analgosedation, monitoring, and recovery time for flexible bronchoscopy: a systematic review.
    BMC pulmonary medicine, 2021, Jun-10, Volume: 21, Issue:1

    Topics: Adult; Analgesics, Opioid; Blood Gas Monitoring, Transcutaneous; Bronchoscopy; Carbon Dioxide; Consc

2021

Trials

4 trials available for midazolam and Hypercapnia

ArticleYear
Non-anesthesiologist-administered Propofol is not Related to an Increase in Transcutaneous CO
    Archivos de bronconeumologia, 2017, Volume: 53, Issue:9

    Topics: Adult; Aged; Ambulatory Care; Blood Gas Monitoring, Transcutaneous; Bronchoscopy; Carbon Dioxide; De

2017
Administration of additional analgesics can decrease the incidence of paradoxical reactions in patients under benzodiazepine-induced sedation during endoscopic transpapillary procedures: prospective randomized controlled trial.
    Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society, 2013, Volume: 25, Issue:1

    Topics: Adjuvants, Anesthesia; Aged; Analysis of Variance; Cholangiopancreatography, Endoscopic Retrograde;

2013
Sedative and ventilatory effects of midazolam infusion: effect of flumazenil reversal.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1995, Volume: 42, Issue:8

    Topics: Adult; Ambulatory Care; Anesthetics, Intravenous; Double-Blind Method; Female; Fentanyl; Flumazenil;

1995
The effect of flumazenil on midazolam-induced depression of the ventilatory response to hypoxia during isohypercarbia.
    Anesthesiology, 1993, Volume: 78, Issue:4

    Topics: Adult; Depression, Chemical; Dose-Response Relationship, Drug; Double-Blind Method; Drug Interaction

1993

Other Studies

6 other studies available for midazolam and Hypercapnia

ArticleYear
Midazolam addition to analgosedation for pulmonary vein isolation may increase risk of hypercapnia and acidosis.
    International journal of cardiology, 2018, 05-15, Volume: 259

    Topics: Acidosis; Aged; Anesthetics, Intravenous; Drug Therapy, Combination; Female; Fentanyl; Follow-Up Stu

2018
Transcutaneous monitoring of partial pressure of carbon dioxide during endoscopic retrograde cholangiopancreatography using a double-balloon endoscope with carbon dioxide insufflation under conscious sedation.
    Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society, 2014, Volume: 26, Issue:3

    Topics: Aged; Aged, 80 and over; Carbon Dioxide; Cholangiopancreatography, Endoscopic Retrograde; Cohort Stu

2014
Isoflurane Sedation on the ICU in Cardiac Arrest Patients Treated With Targeted Temperature Management: An Observational Propensity-Matched Study.
    Critical care medicine, 2017, Volume: 45, Issue:4

    Topics: Administration, Inhalation; Administration, Intravenous; Aged; Anesthetics, Inhalation; Anesthetics,

2017
Isoflurane Sedation on the ICU in Cardiac Arrest Patients Treated With Targeted Temperature Management: An Observational Propensity-Matched Study.
    Critical care medicine, 2017, Volume: 45, Issue:4

    Topics: Administration, Inhalation; Administration, Intravenous; Aged; Anesthetics, Inhalation; Anesthetics,

2017
Isoflurane Sedation on the ICU in Cardiac Arrest Patients Treated With Targeted Temperature Management: An Observational Propensity-Matched Study.
    Critical care medicine, 2017, Volume: 45, Issue:4

    Topics: Administration, Inhalation; Administration, Intravenous; Aged; Anesthetics, Inhalation; Anesthetics,

2017
Isoflurane Sedation on the ICU in Cardiac Arrest Patients Treated With Targeted Temperature Management: An Observational Propensity-Matched Study.
    Critical care medicine, 2017, Volume: 45, Issue:4

    Topics: Administration, Inhalation; Administration, Intravenous; Aged; Anesthetics, Inhalation; Anesthetics,

2017
Permissive hypercapnia: does a high PaCO2 level require high sedative doses?
    Critical care medicine, 2006, Volume: 34, Issue:6

    Topics: Carbon Dioxide; Dose-Response Relationship, Drug; Humans; Hypercapnia; Hypnotics and Sedatives; Mida

2006
The effect of oral midazolam and diazepam on respiration in normal subjects.
    The European respiratory journal, 1993, Volume: 6, Issue:1

    Topics: Administration, Oral; Analysis of Variance; Diazepam; Humans; Hypercapnia; Hypoxia; Male; Midazolam;

1993
Carbon dioxide narcosis caused by midazolam in a patient with myotonic dystrophy.
    Anaesthesia, 2000, Volume: 55, Issue:1

    Topics: Adult; Anesthesia, Epidural; Female; Humans; Hypercapnia; Hypnotics and Sedatives; Midazolam; Myoton

2000