Page last updated: 2024-10-31

midazolam and Hypertension, Portal

midazolam has been researched along with Hypertension, Portal in 3 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.

Hypertension, Portal: Abnormal increase of resistance to blood flow within the hepatic PORTAL SYSTEM, frequently seen in LIVER CIRRHOSIS and conditions with obstruction of the PORTAL VEIN.

Research Excerpts

ExcerptRelevanceReference
"Sedation with propofol has a shorter time recovery and a shorter time to discharge than midazolam and does not exacerbate sub-clinical hepatic encephalopathy in patients with compensated liver cirrhosis."9.15Sub-clinical hepatic encephalopathy in cirrhotic patients is not aggravated by sedation with propofol compared to midazolam: a randomized controlled study. ( Alex, I; Kamal, D; Khamaysi, I; Nimer, A; Olga, A; Vladimir, M; William, N, 2011)
"Sedation with propofol has a shorter time recovery and a shorter time to discharge than midazolam and does not exacerbate sub-clinical hepatic encephalopathy in patients with compensated liver cirrhosis."5.15Sub-clinical hepatic encephalopathy in cirrhotic patients is not aggravated by sedation with propofol compared to midazolam: a randomized controlled study. ( Alex, I; Kamal, D; Khamaysi, I; Nimer, A; Olga, A; Vladimir, M; William, N, 2011)
"The results of this study indicate that (1) the majority of patients with cirrhosis and suspected portal hypertension have evidence of subclinical hepatic encephalopathy, (2) the extent of encephalopathy correlates with the Child Pugh's score, (3) sedation with midazolam for upper GI endoscopy exacerbates the encephalopathy, and (4) this adverse effect is still evident 2 hours after the procedure."5.09Risk of sedation for upper GI endoscopy exacerbating subclinical hepatic encephalopathy in patients with cirrhosis. ( Assy, N; Grahame, GR; Minuk, GY; Rosser, BG, 1999)

Research

Studies (3)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (66.67)18.2507
2000's0 (0.00)29.6817
2010's1 (33.33)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Khamaysi, I1
William, N1
Olga, A1
Alex, I1
Vladimir, M1
Kamal, D1
Nimer, A1
Steinlauf, AF1
Garcia-Tsao, G1
Zakko, MF1
Dickey, K1
Gupta, T1
Groszmann, RJ1
Assy, N1
Rosser, BG1
Grahame, GR1
Minuk, GY1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Impact of Fentanyl Analgesia on the Accuracy of Hepatic Venous Pressure Gradient Measurements in Patients With Portal Hypertension:a Prospective, Multicenter Study[NCT04724148]4 participants (Anticipated)Interventional2022-01-01Recruiting
Evaluation of Gastroesophageal Varices in Cirrhotic and Non-cirrhotic Patients With Portal Hypertension by Transnasal Endoscopy.[NCT02767206]50 participants (Actual)Observational2016-03-31Enrolling by invitation
A New Technique to Enhance Detection of Small Esophageal Varices by PillCam ESO Capsule Endoscopy[NCT00911131]Phase 30 participants (Actual)InterventionalWithdrawn (stopped due to Loss of funding)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trials

3 trials available for midazolam and Hypertension, Portal

ArticleYear
Sub-clinical hepatic encephalopathy in cirrhotic patients is not aggravated by sedation with propofol compared to midazolam: a randomized controlled study.
    Journal of hepatology, 2011, Volume: 54, Issue:1

    Topics: Adult; Aged; Anesthesia Recovery Period; Cognition; Conscious Sedation; Endoscopy, Gastrointestinal;

2011
Low-dose midazolam sedation: an option for patients undergoing serial hepatic venous pressure measurements.
    Hepatology (Baltimore, Md.), 1999, Volume: 29, Issue:4

    Topics: Anti-Anxiety Agents; Anxiety; Catheterization; Dose-Response Relationship, Drug; Double-Blind Method

1999
Risk of sedation for upper GI endoscopy exacerbating subclinical hepatic encephalopathy in patients with cirrhosis.
    Gastrointestinal endoscopy, 1999, Volume: 49, Issue:6

    Topics: Adult; Analysis of Variance; Anesthetics, Intravenous; Chi-Square Distribution; Conscious Sedation;

1999
Risk of sedation for upper GI endoscopy exacerbating subclinical hepatic encephalopathy in patients with cirrhosis.
    Gastrointestinal endoscopy, 1999, Volume: 49, Issue:6

    Topics: Adult; Analysis of Variance; Anesthetics, Intravenous; Chi-Square Distribution; Conscious Sedation;

1999
Risk of sedation for upper GI endoscopy exacerbating subclinical hepatic encephalopathy in patients with cirrhosis.
    Gastrointestinal endoscopy, 1999, Volume: 49, Issue:6

    Topics: Adult; Analysis of Variance; Anesthetics, Intravenous; Chi-Square Distribution; Conscious Sedation;

1999
Risk of sedation for upper GI endoscopy exacerbating subclinical hepatic encephalopathy in patients with cirrhosis.
    Gastrointestinal endoscopy, 1999, Volume: 49, Issue:6

    Topics: Adult; Analysis of Variance; Anesthetics, Intravenous; Chi-Square Distribution; Conscious Sedation;

1999