Page last updated: 2024-10-31

midazolam and Myoclonic Jerk

midazolam has been researched along with Myoclonic Jerk in 24 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
"While occasional myoclonic jerks are prevalent in cancer patients receiving opioids, severe myoclonic jerks and seizures due to opioids are uncommon."5.30Strychnine-like multifocal myoclonus and seizures in extremely high-dose opioid administration: treatment strategies. ( Hagen, N; Swanson, R, 1997)
"CSH (200 mg/kg, i."5.27Prevention of cysteamine-induced myoclonus blocks the long-term inhibition of kindled seizures. ( Cottrell, GA; Robertson, HA, 1987)
"The results of this study suggest that (a) etomidate is much safer than propofol for first-trimester surgical abortions and (b) using a lower dose of etomidate, supplemented with fentanyl and midazolam, is more beneficial than the use of etomidate with or without fentanyl in reducing adverse effects like myoclonus and postoperative nausea and vomiting."5.17A comparison of anesthetic regimens using etomidate and propofol in patients undergoing first-trimester abortions: double-blind, randomized clinical trial of safety and efficacy. ( Chu, S; Deng, F; Wu, J; Wu, Z; Xia, G; Yao, S, 2013)
"To determine the frequency, severity and duration of adverse events including myoclonus, pain on injection, hypersalivation, regurgitation and apnoea after administration of midazolam or saline followed by etomidate in hydromorphone premedicated dogs."3.01Descriptive assessment of adverse events associated with midazolam-etomidate versus saline-etomidate in healthy hydromorphone premedicated dogs. ( Calbay, R; da Cunha, AF; Hofmeister, EH; Jones, TL, 2021)
"Recent studies have shown that etomidate is associated with fewer serious adverse events than propofol and has a noninferior sedative effect."2.87Efficacy and safety of etomidate-midazolam for screening colonoscopy in the elderly: A prospective double-blinded randomized controlled study. ( Choi, HS; Choi, SJ; Chun, HJ; Jeen, YT; Keum, B; Kim, CD; Kim, ES; Kim, SH; Kim, W; Lee, BJ; Lee, HS; Lee, JM; Min, G; Park, JJ, 2018)
" The dosage of anesthetic medications administered was also recorded for each patient."2.73Metoclopramide does not influence the frequency of propofol-induced spontaneous movements. ( Ahmed, SA; Herazo, L; Iyer, C; Joshi, GP; Lenkovsky, F; Markin, V; Robertson, BD; Ross, L, 2007)
" In this study, pretreatment with a small dosage of etomidate or midazolam was compared with placebo for the prevention of myoclonic muscle movements."2.71Midazolam pretreatment reduces etomidate-induced myoclonic movements. ( Fritz, HG; Hueter, L; Schwarzkopf, KR; Simon, M, 2003)
"Propofol was well tolerated and lacked the myoclonus, prolonged sedation, and resedation noted with the latter 3 respective groups."2.71Sedation for cardioversion in the emergency department: analysis of effectiveness in four protocols. ( Bragulat, E; Coll-Vinent, B; Espinosa, G; Fernández, C; Millá, J; Miró, O; Sala, X; Sánchez, M, 2003)
" Midazolam concentrations were also measured and pharmacokinetic parameters determined using a population modelling package."2.68Haemodynamic responses and population pharmacokinetics of midazolam following administration to ventilated, preterm neonates. ( Charles, BG; Gray, PH; Harte, GJ; Lee, TC; Steer, PA, 1997)
"Outcome measures comprised overall myoclonus incidence rate and incidence rate classified by degree of myoclonus following etomidate injection."2.55Effect of pretreatment with midazolam on etomidate-induced myoclonus: A meta-analysis. ( Liu, Z; Ruan, L; Zhou, C; Zhu, Y, 2017)
"Spinal myoclonus following neuraxial anesthesia is rare."1.43Myoclonus-like involuntary movements following cesarean delivery epidural anesthesia. ( Hong, EP; Kang, HY; Kang, JM; Lee, SM; Lee, SW; Park, SW; Sim, YH, 2016)
"Study results showed that myoclonus incidence was 85%, 40%, 70%, and 25% in Group NP, Group F, Group M, and Group FM, respectively, and were significantly lower in Group F and Group FM."1.40Prevention of etomidate-induced myoclonus: which is superior: Fentanyl, midazolam, or a combination? A Retrospective comparative study. ( Akkoc, I; Gül, YG; Inal, FY; Isitemiz, I; Toptaş, M; Uzman, S; Vahapoglu, A, 2014)
"Because of acute renal failure resulting from rhabdomyolysis hemodialysis was necessary three times."1.35["Liquid ecstasy": gamma-butyrolactone withdrawal delirium with rhabdomyolysis and dialysis dependent renal failure]. ( Busch, HJ; Schwab, T; Supady, A, 2009)
"Flumazenil is a potent benzodiazepine antagonist that competitively blocks the central effects of benzodiazepines."1.31Flumazenil's reversal of myoclonic-like movements associated with midazolam in term newborns. ( da Silva, O; Knoppert, DC; Zaw, W, 2001)
"While occasional myoclonic jerks are prevalent in cancer patients receiving opioids, severe myoclonic jerks and seizures due to opioids are uncommon."1.30Strychnine-like multifocal myoclonus and seizures in extremely high-dose opioid administration: treatment strategies. ( Hagen, N; Swanson, R, 1997)
"As morphine dosages were further escalated, it was also necessary to increase the midazolam infusion to control additional myoclonic spasms."1.29Continuous midazolam infusion for the management of morphine-induced myoclonus. ( Adams, VR; Chavez, CM; Duncan, MH; Holdsworth, MT; Vaughan, LJ, 1995)
"Life-threatening myoclonus developed in a patient following inadvertent intrathecal usage of 60% diatrizoate meglumine."1.29Spinal myoclonus following intrathecal administration of diatrizoate meglumine. ( Gutmann, L; Sam, MC, 1996)
"CSH (200 mg/kg, i."1.27Prevention of cysteamine-induced myoclonus blocks the long-term inhibition of kindled seizures. ( Cottrell, GA; Robertson, HA, 1987)

Research

Studies (24)

TimeframeStudies, this research(%)All Research%
pre-19901 (4.17)18.7374
1990's5 (20.83)18.2507
2000's10 (41.67)29.6817
2010's7 (29.17)24.3611
2020's1 (4.17)2.80

Authors

AuthorsStudies
Jones, TL1
Calbay, R1
da Cunha, AF1
Hofmeister, EH1
Zhou, C1
Zhu, Y1
Liu, Z1
Ruan, L1
Lee, JM2
Min, G1
Kim, SH1
Choi, HS1
Kim, ES1
Keum, B1
Jeen, YT1
Chun, HJ1
Lee, HS1
Kim, CD1
Park, JJ1
Lee, BJ1
Choi, SJ1
Kim, W1
Yamaguchi, S1
Isitemiz, I1
Uzman, S1
Toptaş, M1
Vahapoglu, A1
Gül, YG1
Inal, FY1
Akkoc, I1
Ozcan, B1
Kavurt, S1
Yucel, H1
Bas, AY1
Demirel, N1
Kang, HY1
Lee, SW1
Hong, EP1
Sim, YH1
Lee, SM1
Park, SW1
Kang, JM1
Supady, A1
Schwab, T1
Busch, HJ1
Wu, J1
Yao, S1
Wu, Z2
Chu, S1
Xia, G1
Deng, F1
Chu, YC1
Tsai, SK1
Chan, KH1
Kao, SC1
Liang, CH1
Lin, SM1
Schwarzkopf, KR1
Hueter, L1
Simon, M1
Fritz, HG1
Coll-Vinent, B1
Sala, X1
Fernández, C1
Bragulat, E1
Espinosa, G1
Miró, O1
Millá, J1
Sánchez, M1
Di Liddo, L1
D'Angelo, A1
Nguyen, B1
Bailey, B1
Amre, D1
Stanciu, C1
Hüter, L1
Schreiber, T1
Gugel, M1
Schwarzkopf, K1
Lenkovsky, F1
Robertson, BD1
Iyer, C1
Ross, L1
Ahmed, SA1
Herazo, L1
Markin, V1
Joshi, GP1
Alfa, JA1
Bamgbade, OA1
Schneider, R1
Reebye, U1
Choi, C1
Kalman, D1
Holdsworth, MT1
Adams, VR1
Chavez, CM1
Vaughan, LJ1
Duncan, MH1
Magny, JF1
d'Allest, AM1
Nedelcoux, H1
Zupan, V1
Dehan, M1
Sam, MC1
Gutmann, L1
Hagen, N1
Swanson, R1
Harte, GJ1
Gray, PH1
Lee, TC1
Steer, PA1
Charles, BG1
Zaw, W1
Knoppert, DC1
da Silva, O1
Cottrell, GA1
Robertson, HA1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effect of Pretreatment of Lignocaine Versus Midazolam in the Prevention of Etomidate Induced Myoclonus[NCT04921046]Phase 4224 participants (Actual)Interventional2015-01-01Completed
Effects and Mechanism of Pretreatment With Dexmedetomidine to Etomidate Induce Myoclonus During General Anesthesia Induction Period[NCT02518789]Phase 4132 participants (Anticipated)Interventional2015-09-30Not yet recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

1 review available for midazolam and Myoclonic Jerk

ArticleYear
Effect of pretreatment with midazolam on etomidate-induced myoclonus: A meta-analysis.
    The Journal of international medical research, 2017, Volume: 45, Issue:2

    Topics: Anesthesia, General; Anesthetics, Intravenous; Etomidate; Humans; Injections, Intravenous; Midazolam

2017

Trials

9 trials available for midazolam and Myoclonic Jerk

ArticleYear
Descriptive assessment of adverse events associated with midazolam-etomidate versus saline-etomidate in healthy hydromorphone premedicated dogs.
    The Journal of small animal practice, 2021, Volume: 62, Issue:6

    Topics: Anesthetics, Intravenous; Animals; Dog Diseases; Dogs; Etomidate; Hydromorphone; Midazolam; Myoclonu

2021
Efficacy and safety of etomidate-midazolam for screening colonoscopy in the elderly: A prospective double-blinded randomized controlled study.
    Medicine, 2018, Volume: 97, Issue:20

    Topics: Aged; Anesthetics, Intravenous; Cardiovascular Diseases; Colonoscopy; Double-Blind Method; Etomidate

2018
A comparison of anesthetic regimens using etomidate and propofol in patients undergoing first-trimester abortions: double-blind, randomized clinical trial of safety and efficacy.
    Contraception, 2013, Volume: 87, Issue:1

    Topics: Abortion, Induced; Adult; Analysis of Variance; Anesthesia Recovery Period; Anesthesia, General; Ane

2013
Midazolam pretreatment reduces etomidate-induced myoclonic movements.
    Anaesthesia and intensive care, 2003, Volume: 31, Issue:1

    Topics: Anesthetics, Intravenous; Double-Blind Method; Etomidate; Female; Humans; Male; Midazolam; Middle Ag

2003
Midazolam pretreatment reduces etomidate-induced myoclonic movements.
    Anaesthesia and intensive care, 2003, Volume: 31, Issue:1

    Topics: Anesthetics, Intravenous; Double-Blind Method; Etomidate; Female; Humans; Male; Midazolam; Middle Ag

2003
Midazolam pretreatment reduces etomidate-induced myoclonic movements.
    Anaesthesia and intensive care, 2003, Volume: 31, Issue:1

    Topics: Anesthetics, Intravenous; Double-Blind Method; Etomidate; Female; Humans; Male; Midazolam; Middle Ag

2003
Midazolam pretreatment reduces etomidate-induced myoclonic movements.
    Anaesthesia and intensive care, 2003, Volume: 31, Issue:1

    Topics: Anesthetics, Intravenous; Double-Blind Method; Etomidate; Female; Humans; Male; Midazolam; Middle Ag

2003
Sedation for cardioversion in the emergency department: analysis of effectiveness in four protocols.
    Annals of emergency medicine, 2003, Volume: 42, Issue:6

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anesthesia Recovery Period; Clinical Protocols; Consciou

2003
Etomidate versus midazolam for procedural sedation in pediatric outpatients: a randomized controlled trial.
    Annals of emergency medicine, 2006, Volume: 48, Issue:4

    Topics: Adolescent; Analgesics, Non-Narcotic; Analgesics, Opioid; Child; Child, Preschool; Consumer Behavior

2006
Low-dose intravenous midazolam reduces etomidate-induced myoclonus: a prospective, randomized study in patients undergoing elective cardioversion.
    Anesthesia and analgesia, 2007, Volume: 105, Issue:5

    Topics: Aged; Anesthetics, Intravenous; Double-Blind Method; Electric Countershock; Etomidate; Female; Human

2007
Metoclopramide does not influence the frequency of propofol-induced spontaneous movements.
    Journal of clinical anesthesia, 2007, Volume: 19, Issue:7

    Topics: Aged; Anesthesia, General; Anesthetics, Intravenous; Antiemetics; Double-Blind Method; Drug Interact

2007
Haemodynamic responses and population pharmacokinetics of midazolam following administration to ventilated, preterm neonates.
    Journal of paediatrics and child health, 1997, Volume: 33, Issue:4

    Topics: Analysis of Variance; Anesthetics, Intravenous; Blood Flow Velocity; Blood Pressure; Cerebrovascular

1997

Other Studies

14 other studies available for midazolam and Myoclonic Jerk

ArticleYear
[Efficacy of Dexmedetomidine in Monitored Anesthesia Care (MAC) for a Woman with Mitochondrial Encephalomyopathy Associated with Myoclonus].
    Masui. The Japanese journal of anesthesiology, 2017, Volume: 66, Issue:1

    Topics: Adult; Anesthesia Recovery Period; Anesthetics, Intravenous; Dexmedetomidine; Female; Humans; Midazo

2017
Prevention of etomidate-induced myoclonus: which is superior: Fentanyl, midazolam, or a combination? A Retrospective comparative study.
    Medical science monitor : international medical journal of experimental and clinical research, 2014, Feb-16, Volume: 20

    Topics: Anesthetics, Intravenous; Blood Pressure; Drug Therapy, Combination; Etomidate; Fentanyl; Heart Rate

2014
Rhythmic myoclonic jerking induced by midazolam in a preterm infant.
    Pediatric neurology, 2015, Volume: 52, Issue:6

    Topics: Anesthetics, Intravenous; Female; Humans; Infant, Newborn; Infant, Premature; Laser Coagulation; Mid

2015
Myoclonus-like involuntary movements following cesarean delivery epidural anesthesia.
    Journal of clinical anesthesia, 2016, Volume: 34

    Topics: Administration, Intravenous; Adult; Anesthesia Recovery Period; Anesthesia, Epidural; Anesthesia, Ob

2016
["Liquid ecstasy": gamma-butyrolactone withdrawal delirium with rhabdomyolysis and dialysis dependent renal failure].
    Deutsche medizinische Wochenschrift (1946), 2009, Volume: 134, Issue:18

    Topics: 4-Butyrolactone; Acute Kidney Injury; Adrenergic alpha-Agonists; Benzodiazepines; Clonidine; GABA Mo

2009
Lateral medullary syndrome after prone position for general surgery.
    Anesthesia and analgesia, 2002, Volume: 95, Issue:5

    Topics: Adult; Brain Diseases; Cerebral Arteries; Functional Laterality; GABA Modulators; Humans; Magnetic R

2002
Acute myoclonus following spinal anaesthesia.
    European journal of anaesthesiology, 2008, Volume: 25, Issue:3

    Topics: Acute Disease; Analgesics, Opioid; Anesthesia Recovery Period; Anesthesia, Spinal; Anesthetics, Intr

2008
Seizure-like activity and prolonged central nervous system side effects after intravenous sedation.
    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 2008, Volume: 66, Issue:6

    Topics: Adult; Anesthesia, Dental; Anesthetics, Intravenous; Conscious Sedation; Drug Interactions; Fentanyl

2008
Continuous midazolam infusion for the management of morphine-induced myoclonus.
    The Annals of pharmacotherapy, 1995, Volume: 29, Issue:1

    Topics: Adolescent; Humans; Infusions, Intravenous; Male; Midazolam; Morphine; Myoclonus

1995
Midazolam and myoclonus in neonate.
    European journal of pediatrics, 1994, Volume: 153, Issue:5

    Topics: Electroencephalography; Humans; Infant, Newborn; Midazolam; Myoclonus; Respiratory Distress Syndrome

1994
Spinal myoclonus following intrathecal administration of diatrizoate meglumine.
    Journal of neuroimaging : official journal of the American Society of Neuroimaging, 1996, Volume: 6, Issue:4

    Topics: Aged; Contrast Media; Diatrizoate Meglumine; Humans; Hypnotics and Sedatives; Injections, Spinal; Ma

1996
Strychnine-like multifocal myoclonus and seizures in extremely high-dose opioid administration: treatment strategies.
    Journal of pain and symptom management, 1997, Volume: 14, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Anesthetics, Intravenous; Drug Administration Sc

1997
Flumazenil's reversal of myoclonic-like movements associated with midazolam in term newborns.
    Pharmacotherapy, 2001, Volume: 21, Issue:5

    Topics: Female; Flumazenil; GABA Modulators; Humans; Hypnotics and Sedatives; Infant, Newborn; Male; Midazol

2001
Prevention of cysteamine-induced myoclonus blocks the long-term inhibition of kindled seizures.
    Brain research, 1987, May-26, Volume: 412, Issue:1

    Topics: Animals; Cysteamine; Kindling, Neurologic; Male; Midazolam; Myoclonus; Neural Inhibition; Rats; Rats

1987