Page last updated: 2024-10-31

midazolam and Mental Disorders

midazolam has been researched along with Mental Disorders in 23 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.

Mental Disorders: Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function.

Research Excerpts

ExcerptRelevanceReference
"Records of children with autism or neurobehavioral disorders sedated with dexmedetomidine at Chris Evert Children's Hospital and Kosair Children's Hospital were reviewed."5.35Dexmedetomidine for procedural sedation in children with autism and other behavior disorders. ( Berkenbosch, JW; Lubisch, N; Roskos, R, 2009)
" Midazolam was more rapidly sedating than haloperidol-promethazine, reducing the time people are exposed to aggression."5.10Rapid tranquillisation for agitated patients in emergency psychiatric rooms: a randomised trial of midazolam versus haloperidol plus promethazine. ( , 2003)
"The assessment of modifications in the tetanus treatment, which included using metronidazol and midazolam instead penicillin and diazepam, was presented."3.70[Modifications in treatment of tetanus and prognosis--observations from the Cracow Department of Infectious Diseases]. ( Bociaga-Jasik, M; Caban, J; Garlicki, A; Kluba-Wojewoda, U; Krukowiecki, J, 1999)
"Midazolam was used in approximately 47% in the MC group."1.40Survey on choice of intravenous sedative agent at department of dental anesthesiology, Tokyo Dental College Chiba Hospital between 2010 and 2011. ( Ichinohe, T; Kasahara, M; Matsuki, Y; Matsuura, N; Okamura, T; Shiozaki, K, 2014)
"Oral ketamine is an effective premedication for major ambulatory surgery and does not increase the incidence of side effects."1.36[Oral ketamine-midazolam premedication of uncooperative patients in major outpatient surgery]. ( Cano, G; Caparros, P; Cortiñas, M; Ibarra, M; Martínez, L; Oya, B, 2010)
"Records of children with autism or neurobehavioral disorders sedated with dexmedetomidine at Chris Evert Children's Hospital and Kosair Children's Hospital were reviewed."1.35Dexmedetomidine for procedural sedation in children with autism and other behavior disorders. ( Berkenbosch, JW; Lubisch, N; Roskos, R, 2009)

Research

Studies (23)

TimeframeStudies, this research(%)All Research%
pre-19901 (4.35)18.7374
1990's7 (30.43)18.2507
2000's7 (30.43)29.6817
2010's7 (30.43)24.3611
2020's1 (4.35)2.80

Authors

AuthorsStudies
Zhang, LY1
Zhang, YH1
Shen, J1
Luo, Y1
Huebinger, RM1
Zaidi, HQ1
Tataris, KL1
Weber, JM1
Pearlman, KS1
Markul, E1
Stein-Spencer, L1
Richards, CT1
Calver, L1
Drinkwater, V1
Isbister, GK2
Matsuki, Y1
Okamura, T1
Shiozaki, K1
Matsuura, N1
Kasahara, M1
Ichinohe, T1
Lubisch, N1
Roskos, R1
Berkenbosch, JW1
Brakoulias, V1
Mandali, R1
Seymour, J1
Sammut, P1
Starcevic, V1
Calver, LA1
Page, CB1
Stokes, B1
Bryant, JL1
Downes, MA1
Cortiñas, M1
Oya, B1
Caparros, P1
Cano, G1
Ibarra, M1
Martínez, L1
Sharshar, T1
Porcher, R1
Siami, S1
Rohaut, B1
Bailly-Salin, J1
Hopkinson, NS1
Clair, B1
Guidoux, C1
Iacobone, E1
Sonneville, R1
Polito, A1
Aboab, J1
Gaudry, S1
Morla, O1
Amouyal, G1
Azuar, J1
Allary, J1
Vieillard-Baron, A1
Wolff, M1
Cariou, A1
Annane, D1
Huf, G1
Coutinho, ES1
Adams, CE1
Chan, WP1
Chilvers, CR1
Ng, B1
Malesu, RR1
Pojda-Wilczek, D1
Stołtny, LG1
Pojda, SM1
Pojda, G1
Bleiberg, AH1
Salvaggio, CA1
Roy, LC1
Kassutto, Z1
Fukuta, O2
Braham, RL2
Yanase, H2
Kurosu, K2
Atsumi, N1
Thakker, P1
Gallagher, TM1
Nielssen, O1
Buhrich, N1
Finlay-Jones, R1
McCall, WV1
Garlicki, A1
Caban, J1
Bociaga-Jasik, M1
Kluba-Wojewoda, U1
Krukowiecki, J1
Wroblewski, BA1
Joseph, AB1
Knaack-Steinegger, R1
Schou, J1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Sedation to Electroencephalography With Dexmedetomidine or Chloral Hydrate: a Comparative Study of the Qualitative and Quantitative Electroencephalogram Pattern[NCT01083797]Phase 325 participants (Actual)Interventional2009-12-31Completed
The Use of Dexmedetomidine for Procedural Sedation During EEG in Children Affected by Behavioural Disorders[NCT03799783]Phase 219 participants (Actual)Interventional2018-03-01Completed
Ketamine Versus Midazolam for Prehospital Agitation[NCT03554915]314 participants (Actual)Observational2017-08-01Completed
Intranasal Midazolam Versus Rectal Diazepam for the Home Treatment of Seizure Activity in Pediatric Patients With Epilepsy[NCT00326612]Phase 2358 participants (Actual)Interventional2006-06-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Patients That Reach a Score Equal or Lower Than 2 Ten Minutes After the Infusion of Dexmedetomidine (Assessed With the PSSS Pediatric Sedation State Scale)

the PSSS is a validated scale for assessing the level of procedural sedation. It is a 6 items scale , from 0 to 5, where 5 is an alert patient and 0 is a deep sedation with abnormal vital signs. We evaluate patients 10 minutes after the infusion of dexmedetomidine. (NCT03799783)
Timeframe: 10 minutes

InterventionParticipants (Count of Participants)
Dexmedetomidine13

Number of Patients With Adverse Events

any adverse event potentially related with DEX-administration (NCT03799783)
Timeframe: during and immediately after DEX infusion, up to 150 minutes after DEX infusion (time to first awakening)

InterventionParticipants (Count of Participants)
Dexmedetomidine10

Length of Seizure After Study Medication Administration

Length of seizure. (NCT00326612)
Timeframe: 24 hours

InterventionMinutes (Median)
Intranasal Midazolam3.0
Rectal Diazepam4.3

Number of Patients Needed to be Seen or Treated in the Emergency Department for Their Seizure and Use of Study Medication.

(NCT00326612)
Timeframe: 24 hours

Interventionparticipants (Number)
Intranasal Midazolam21
Rectal Diazepam17

Number of Patients That Were Admitted to the Hospital After Their Seizure and Use of Study Medication.

(NCT00326612)
Timeframe: 24 hours

Interventionparticipants (Number)
Intranasal Midazolam4
Rectal Diazepam3

Number of Patients Who Had a Repeat Seizure Within 12 Hours After Their Seizure Who Used Study Medication

(NCT00326612)
Timeframe: 12 hours

Interventionparticipants (Number)
Intranasal Midazolam1
Rectal Diazepam1

Number of Patients Who Needed Additional Medication to Treat the Seizure in the Emergency Department Within 24 Hours

(NCT00326612)
Timeframe: 24 hours

Interventionparticipants (Number)
Intranasal Midazolam5
Rectal Diazepam5

Respiratory Depression Requiring Intubation

Respiratory depression was defined as intubation at Emergency Department discharge. (NCT00326612)
Timeframe: 24 hours

Interventionparticipants (Number)
Intranasal Midazolam1
Rectal Diazepam0

Respiratory Depression Requiring Oxygen at Discharge From the Emergency Department.

Respiratory depression was defined as requiring oxygen at discharge from the Emergency Department. (NCT00326612)
Timeframe: 24 hours

Interventionparticipants (Number)
Intranasal Midazolam3
Rectal Diazepam1

Trials

5 trials available for midazolam and Mental Disorders

ArticleYear
Effects of dexmedetomidine on post-operative recovery and mental status in patients receiving robotic-assisted thoracic surgery.
    Annals of palliative medicine, 2019, Volume: 8, Issue:4

    Topics: Adjuvants, Anesthesia; Adult; Aged; Dexmedetomidine; Female; Health Status; Humans; Hypnotics and Se

2019
Randomized controlled trial of intramuscular droperidol versus midazolam for violence and acute behavioral disturbance: the DORM study.
    Annals of emergency medicine, 2010, Volume: 56, Issue:4

    Topics: Acute Disease; Adult; Aggression; Double-Blind Method; Droperidol; Drug Therapy, Combination; Emerge

2010
Rapid tranquillisation for agitated patients in emergency psychiatric rooms: a randomised trial of midazolam versus haloperidol plus promethazine.
    BMJ (Clinical research ed.), 2003, Sep-27, Volume: 327, Issue:7417

    Topics: Adult; Aggression; Drug Therapy, Combination; Emergency Service, Hospital; Emergency Services, Psych

2003
The sedative effects of intranasal midazolam administration in the dental treatment of patients with mental disabilities. Part 2: optimal concentration of intranasal midazolam.
    The Journal of clinical pediatric dentistry, 1994,Summer, Volume: 18, Issue:4

    Topics: Administration, Intranasal; Adolescent; Adult; Analysis of Variance; Anesthesia, Dental; Chi-Square

1994
Intravenous sedation of involuntary psychiatric patients in New South Wales.
    The Australian and New Zealand journal of psychiatry, 1997, Volume: 31, Issue:2

    Topics: Adult; Benztropine; Commitment of Mentally Ill; Diazepam; Drug Utilization; Emergency Services, Psyc

1997

Other Studies

18 other studies available for midazolam and Mental Disorders

ArticleYear
Retrospective Study of Midazolam Protocol for Prehospital Behavioral Emergencies.
    The western journal of emergency medicine, 2020, Apr-21, Volume: 21, Issue:3

    Topics: Administration, Intranasal; Administration, Intravenous; Adult; Allied Health Personnel; Clinical Pr

2020
A prospective study of high dose sedation for rapid tranquilisation of acute behavioural disturbance in an acute mental health unit.
    BMC psychiatry, 2013, Sep-18, Volume: 13

    Topics: Adult; Droperidol; Drug Therapy, Combination; Female; Haloperidol; Humans; Hypnotics and Sedatives;

2013
Survey on choice of intravenous sedative agent at department of dental anesthesiology, Tokyo Dental College Chiba Hospital between 2010 and 2011.
    The Bulletin of Tokyo Dental College, 2014, Volume: 55, Issue:3

    Topics: Administration, Intravenous; Adult; Aged; Anesthesia, Dental; Anesthetics, Intravenous; Cerebral Pal

2014
Dexmedetomidine for procedural sedation in children with autism and other behavior disorders.
    Pediatric neurology, 2009, Volume: 41, Issue:2

    Topics: Adolescent; Age Factors; Autistic Disorder; Child; Child, Preschool; Conscious Sedation; Dexmedetomi

2009
Dexmedetomidine for procedural sedation in children with autism and other behavior disorders.
    Pediatric neurology, 2009, Volume: 41, Issue:2

    Topics: Adolescent; Age Factors; Autistic Disorder; Child; Child, Preschool; Conscious Sedation; Dexmedetomi

2009
Dexmedetomidine for procedural sedation in children with autism and other behavior disorders.
    Pediatric neurology, 2009, Volume: 41, Issue:2

    Topics: Adolescent; Age Factors; Autistic Disorder; Child; Child, Preschool; Conscious Sedation; Dexmedetomi

2009
Dexmedetomidine for procedural sedation in children with autism and other behavior disorders.
    Pediatric neurology, 2009, Volume: 41, Issue:2

    Topics: Adolescent; Age Factors; Autistic Disorder; Child; Child, Preschool; Conscious Sedation; Dexmedetomi

2009
Characteristics of admissions to a recently opened Psychiatric Emergency Care Centre.
    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists, 2010, Volume: 18, Issue:4

    Topics: Adjustment Disorders; Adolescent; Adult; Aged; Antipsychotic Agents; Australia; Drug Prescriptions;

2010
[Oral ketamine-midazolam premedication of uncooperative patients in major outpatient surgery].
    Revista espanola de anestesiologia y reanimacion, 2010, Volume: 57, Issue:8

    Topics: Adjuvants, Anesthesia; Administration, Oral; Ambulatory Surgical Procedures; Anesthetics, Dissociati

2010
Brainstem responses can predict death and delirium in sedated patients in intensive care unit.
    Critical care medicine, 2011, Volume: 39, Issue:8

    Topics: Aged; Aged, 80 and over; Cause of Death; Cohort Studies; Conscious Sedation; Critical Care; Critical

2011
TREC-Rio trial: a randomised controlled trial for rapid tranquillisation for agitated patients in emergency psychiatric rooms [ISRCTN44153243].
    BMC psychiatry, 2002, Oct-16, Volume: 2

    Topics: Brazil; Clinical Protocols; Drug Combinations; Emergency Services, Psychiatric; Ethics, Research; Ha

2002
Induction of anaesthesia in the home.
    Anaesthesia and intensive care, 2002, Volume: 30, Issue:6

    Topics: Adult; Aggression; Anesthesia; Anesthetics, Dissociative; Home Care Services, Hospital-Based; Humans

2002
The use of intramuscular midazolam in an acute psychiatric unit.
    The Australian and New Zealand journal of psychiatry, 2003, Volume: 37, Issue:1

    Topics: Adult; Female; GABA Modulators; Hospitalization; Hospitals, General; Humans; Injections, Intramuscul

2003
[Flash visual evoked potentials (FVEP) examination under midazolam sedation of non-cooperating children].
    Klinika oczna, 2002, Volume: 104, Issue:5-6

    Topics: Anxiety; Apoptosis Regulatory Proteins; Calcium-Binding Proteins; Child; Child, Preschool; Evoked Po

2002
Low-dose ketamine: efficacy in pediatric sedation.
    Pediatric emergency care, 2007, Volume: 23, Issue:3

    Topics: Adolescent; Atropine; Child; Child, Preschool; Dose-Response Relationship, Drug; Drug Evaluation; Dr

2007
The sedative effect of intranasal midazolam administration in the dental treatment of patients with mental disabilities. Part 1. The effect of a 0.2 mg/kg dose.
    The Journal of clinical pediatric dentistry, 1993,Summer, Volume: 17, Issue:4

    Topics: Administration, Intranasal; Adolescent; Adult; Analysis of Variance; Anesthesia, Dental; Autistic Di

1993
Flumazenil reverses paradoxical reaction to midazolam in a child.
    Anaesthesia and intensive care, 1996, Volume: 24, Issue:4

    Topics: Antidotes; Child; Flumazenil; Humans; Hypnotics and Sedatives; Male; Mental Disorders; Midazolam

1996
Safety of amobarbital.
    The Journal of clinical psychiatry, 1997, Volume: 58, Issue:4

    Topics: Amobarbital; Humans; Mental Disorders; Midazolam

1997
[Modifications in treatment of tetanus and prognosis--observations from the Cracow Department of Infectious Diseases].
    Przeglad lekarski, 1999, Volume: 56, Issue:9

    Topics: Aged; Aged, 80 and over; Diazepam; Drug Therapy, Combination; Female; Humans; Length of Stay; Male;

1999
The use of intramuscular midazolam for acute seizure cessation or behavioral emergencies in patients with traumatic brain injury.
    Clinical neuropharmacology, 1992, Volume: 15, Issue:1

    Topics: Adult; Brain Injuries; Child; Emergencies; Female; Humans; Injections, Intramuscular; Male; Mental D

1992
[Therapy of paradoxical reactions to midazolam in regional anesthesia].
    Der Anaesthesist, 1987, Volume: 36, Issue:3

    Topics: Adult; Anesthesia, Conduction; Female; Humans; Male; Mental Disorders; Midazolam; Middle Aged; Prean

1987