Page last updated: 2024-10-31

midazolam and Neuromuscular Blockade

midazolam has been researched along with Neuromuscular Blockade in 27 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.

Neuromuscular Blockade: The intentional interruption of transmission at the NEUROMUSCULAR JUNCTION by external agents, usually neuromuscular blocking agents. It is distinguished from NERVE BLOCK in which nerve conduction (NEURAL CONDUCTION) is interrupted rather than neuromuscular transmission. Neuromuscular blockade is commonly used to produce MUSCLE RELAXATION as an adjunct to anesthesia during surgery and other medical procedures. It is also often used as an experimental manipulation in basic research. It is not strictly speaking anesthesia but is grouped here with anesthetic techniques. The failure of neuromuscular transmission as a result of pathological processes is not included here.

Research Excerpts

ExcerptRelevanceReference
"Propofol 2 mg x kg(-1) was superior to thiopentone 6 mg x kg(-1) and etomidate 0."6.71Propofol - not thiopental or etomidate - with remifentanil provides adequate intubating conditions in the absence of neuromuscular blockade. ( Alper, I; Erhan, E; Gunusen, I; Ozyar, B; Ugur, G, 2003)
"Propofol is a widely used drug in anesthesia practice, and its pharmacological characteristics are well known."5.37Possible augmentation of neuromuscular blockade by propofol during recovery from rocuronium. ( Braehler, MR; Miller, RD; Ruschulte, H; Ward, TA, 2011)
"Propofol or remifentanil anesthesia was associated with a higher incidence of OCR during pediatric strabismus surgery than sevoflurane and desflurane anesthesia, when either ketamine or midazolam was used as an induction agent."5.14Effect of different anesthetic agents on oculocardiac reflex in pediatric strabismus surgery. ( Choi, SR; Chung, CJ; Lee, JH; Lee, SC; Park, SW, 2009)
" Ventilator-free days, alive at day 28, and dose and duration of sedation (propofol and midazolam), analgesia (fentanyl and morphine), and neuromuscular blockade (NMB) were compared."4.90Association between tidal volume size, duration of ventilation, and sedation needs in patients without acute respiratory distress syndrome: an individual patient data meta-analysis. ( Barbas, CS; Biehl, M; de Abreu, MG; de Oliveira, RP; Determann, RM; Elmer, J; Friedman, G; Gajic, O; Goldstein, JN; Horn, J; Juffermans, NP; Linko, R; Pelosi, P; Schultz, MJ; Serpa Neto, A; Simonis, FD; Sundar, S; Talmor, D; Wolthuis, EK, 2014)
"In this large, pediatric multicenter registry, fentanyl, midazolam, and ketamine were the most commonly used induction agents, and the majority of tracheal intubations involved neuromuscular blockade."3.81Current medication practice and tracheal intubation safety outcomes from a prospective multicenter observational cohort study. ( Brown, CA; Howell, JD; Hsing, DD; Montgomery, V; Nadkarni, VM; Nishisaki, A; Parker, MM; Tarquinio, KM; Turner, DA; Walls, RM, 2015)
"To investigate the relationship between total body weight (TBW) or body mass index (BMI) and atracurium reversal time."3.70Antagonism of atracurium-induced block in obese patients. ( Kirkegaard-Nielsen, H; Lindholm, P; Petersen, HS; Severinsen, IK, 1998)
" Neuromuscular blockade was induced and maintained with atracurium."3.70New equipment for neuromuscular transmission monitoring: a comparison of the TOF-Guard with the Myograph 2000. ( Helbo-Hansen, HS; Kirkegaard-Nielsen, H; Lindholm, P; Pedersen, HS; Schmidt, MB; Severinsen, IK, 1998)
"Propofol 2 mg x kg(-1) was superior to thiopentone 6 mg x kg(-1) and etomidate 0."2.71Propofol - not thiopental or etomidate - with remifentanil provides adequate intubating conditions in the absence of neuromuscular blockade. ( Alper, I; Erhan, E; Gunusen, I; Ozyar, B; Ugur, G, 2003)
"Adult patients with head injuries were prospectively enrolled over a 1-year period by using the following inclusion criteria: Glasgow Coma Scale score of 3 to 8, transport time of greater than 10 minutes, and inability to intubate without RSI."2.70Paramedic-performed rapid sequence intubation of patients with severe head injuries. ( Bailey, D; Davis, D; Hoyt, D; Marshall, L; Ochs, M; Rosen, P, 2002)
"To compare the pharmacokinetic behaviour of doxacurium in patients undergoing normothermic or hypothermic cardiopulmonary bypass (CPB) for coronary artery bypass graft surgery."2.69Pharmacokinetics of doxacurium during normothermic and hypothermic cardiopulmonary bypass surgery. ( Asokumar, B; Cheng, D; Chung, F; Peniston, C; Sandler, A; Varin, F, 1998)
"Intubation of the trachea and mechanical ventilation are ubiquitous painful procedures in the neonatal intensive care unit that are poorly assessed and treated."2.49Sedation and analgesia to facilitate mechanical ventilation. ( Colby, CE; Nemergut, ME; Yaster, M, 2013)
"Propofol is a widely used drug in anesthesia practice, and its pharmacological characteristics are well known."1.37Possible augmentation of neuromuscular blockade by propofol during recovery from rocuronium. ( Braehler, MR; Miller, RD; Ruschulte, H; Ward, TA, 2011)
"The ease of endotracheal intubation has been recently shown to affect the incidence of laryngeal injury."1.33Tracheal intubation in routine practice with and without muscular relaxation: an observational study. ( Adnet, F; Ait Kaci, F; Baillard, C; Borron, SW; Cupa, M; Fournier, JL; Larmignat, P; Racine, SX; Samama, CM, 2005)
"3 mg/kg), and to compare the accuracy of the dosing of midazolam for ED RSI with the accuracy of dosing of other agents."1.32Underdosing of midazolam in emergency endotracheal intubation. ( Barton, ED; Chiang, V; Sagarin, MJ; Sakles, JC; Vissers, RJ; Walls, RM, 2003)

Research

Studies (27)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's5 (18.52)18.2507
2000's12 (44.44)29.6817
2010's9 (33.33)24.3611
2020's1 (3.70)2.80

Authors

AuthorsStudies
Inata, Y1
Sofue, T1
Hatachi, T1
Kyogoku, M1
Takeuchi, M1
Ozawa, Y1
Ades, A1
Foglia, EE1
DeMeo, S1
Barry, J1
Sawyer, T1
Singh, N1
Glass, K1
Jung, P1
Quek, BH1
Johnston, L1
Kim, J1
Napolitano, N1
Shults, J1
Nadkarni, VM2
Nishisaki, A2
Nemergut, ME1
Yaster, M1
Colby, CE1
Serpa Neto, A1
Simonis, FD1
Barbas, CS1
Biehl, M1
Determann, RM1
Elmer, J1
Friedman, G1
Gajic, O1
Goldstein, JN1
Horn, J1
Juffermans, NP1
Linko, R1
de Oliveira, RP1
Sundar, S1
Talmor, D1
Wolthuis, EK1
de Abreu, MG1
Pelosi, P1
Schultz, MJ1
Gupta, B1
Ayub, A1
Bindra, A1
Gupta, S1
Mishra, B1
Tarquinio, KM1
Howell, JD1
Montgomery, V1
Turner, DA1
Hsing, DD1
Parker, MM1
Brown, CA1
Walls, RM2
Kudchadkar, SR1
Shaffner, DH1
Lu, CH1
Man, KM1
Ou-Yang, HY1
Chan, SM1
Ho, ST1
Wong, CS1
Liaw, WJ1
Choi, SR1
Park, SW1
Lee, JH1
Lee, SC1
Chung, CJ1
Lee, KH1
Nam, SH1
Yoo, SY1
Jung, CW1
Bae, SS1
Lee, JR1
Ruschulte, H1
Ward, TA1
Miller, RD1
Braehler, MR1
Messieha, ZS1
Guirguis, S1
Hanna, S1
Ochs, M2
Davis, D1
Hoyt, D1
Bailey, D2
Marshall, L1
Rosen, P2
Erhan, E1
Ugur, G1
Gunusen, I1
Alper, I1
Ozyar, B1
Sagarin, MJ1
Barton, ED1
Sakles, JC1
Vissers, RJ1
Chiang, V1
Davis, DP1
Hoyt, DB1
Marshall, LK1
Fanneløp, T1
Dahle, GO1
Matre, K1
Segadal, L1
Grong, K1
Baillard, C1
Adnet, F1
Borron, SW1
Racine, SX1
Ait Kaci, F1
Fournier, JL1
Larmignat, P1
Cupa, M1
Samama, CM1
Farag, E1
Chelune, GJ1
Schubert, A1
Mascha, EJ1
van Twest, RM1
Kirkegaard-Nielsen, H2
Lindholm, P2
Petersen, HS1
Severinsen, IK2
Ririe, DG1
Shapiro, F1
Sethna, NF1
Ma, OJ1
Atchley, RB1
Hatley, T1
Green, M1
Young, J1
Brady, W1
Helbo-Hansen, HS1
Pedersen, HS1
Schmidt, MB1
Asokumar, B1
Cheng, D1
Chung, F1
Peniston, C1
Sandler, A1
Varin, F1
Playfor, SD1
Thomas, DA1
Choonara, I2
Jarvis, A1
Playfor, S1
Thomas, D1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Pragmatic Investigation of Volume Targeted Ventilation-1 (PIVOT-1)[NCT03909854]139 participants (Actual)Interventional2019-09-09Completed
Deep Sedation and General Anesthesia for Endoscopic Retrograde Cholangiopancreatography[NCT04087668]405 participants (Actual)Interventional2019-09-01Completed
Comparison of Two Different Anesthetic Techniques on Incidence of Postoperative Delirium in Cancer Patients After Laparoscopic Surgery in Trendelenburg Position: A Prospective Randomized Clinical Trial[NCT03572517]65 participants (Actual)Interventional2017-09-01Completed
Effect of Depth of Total Intravenous Anesthesia Using Propofol on Postoperative Cognitive Dysfunction : A Multi-Center Study[NCT01708837]Phase 4300 participants (Anticipated)Interventional2012-10-31Active, not recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

2 reviews available for midazolam and Neuromuscular Blockade

ArticleYear
Sedation and analgesia to facilitate mechanical ventilation.
    Clinics in perinatology, 2013, Volume: 40, Issue:3

    Topics: Analgesics; Analgesics, Opioid; Benzodiazepines; Clonidine; Humans; Hypnotics and Sedatives; Infant;

2013
Association between tidal volume size, duration of ventilation, and sedation needs in patients without acute respiratory distress syndrome: an individual patient data meta-analysis.
    Intensive care medicine, 2014, Volume: 40, Issue:7

    Topics: Analgesics, Opioid; Fentanyl; Humans; Hypnotics and Sedatives; Intensive Care Units; Length of Stay;

2014

Trials

6 trials available for midazolam and Neuromuscular Blockade

ArticleYear
Effect of different anesthetic agents on oculocardiac reflex in pediatric strabismus surgery.
    Journal of anesthesia, 2009, Volume: 23, Issue:4

    Topics: Androstanols; Anesthesia; Anesthesia, General; Anesthetics; Anesthetics, Dissociative; Anesthetics,

2009
Paramedic-performed rapid sequence intubation of patients with severe head injuries.
    Annals of emergency medicine, 2002, Volume: 40, Issue:2

    Topics: Adult; Allied Health Personnel; Craniocerebral Trauma; Emergency Medical Services; Humans; Hypnotics

2002
Propofol - not thiopental or etomidate - with remifentanil provides adequate intubating conditions in the absence of neuromuscular blockade.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2003, Volume: 50, Issue:2

    Topics: Adolescent; Adult; Analgesics, Opioid; Anesthetics, Intravenous; Blood Pressure; Cough; Double-Blind

2003
Is depth of anesthesia, as assessed by the Bispectral Index, related to postoperative cognitive dysfunction and recovery?
    Anesthesia and analgesia, 2006, Volume: 103, Issue:3

    Topics: Adjuvants, Anesthesia; Aged; Anesthesia Recovery Period; Anesthetics, Intravenous; Cognition; Female

2006
Is depth of anesthesia, as assessed by the Bispectral Index, related to postoperative cognitive dysfunction and recovery?
    Anesthesia and analgesia, 2006, Volume: 103, Issue:3

    Topics: Adjuvants, Anesthesia; Aged; Anesthesia Recovery Period; Anesthetics, Intravenous; Cognition; Female

2006
Is depth of anesthesia, as assessed by the Bispectral Index, related to postoperative cognitive dysfunction and recovery?
    Anesthesia and analgesia, 2006, Volume: 103, Issue:3

    Topics: Adjuvants, Anesthesia; Aged; Anesthesia Recovery Period; Anesthetics, Intravenous; Cognition; Female

2006
Is depth of anesthesia, as assessed by the Bispectral Index, related to postoperative cognitive dysfunction and recovery?
    Anesthesia and analgesia, 2006, Volume: 103, Issue:3

    Topics: Adjuvants, Anesthesia; Aged; Anesthesia Recovery Period; Anesthetics, Intravenous; Cognition; Female

2006
Bispectral index guided timing of intubation without neuromuscular blockade during sevoflurane induction of anaesthesia in adults.
    Anaesthesia and intensive care, 2006, Volume: 34, Issue:5

    Topics: Adjuvants, Anesthesia; Adolescent; Adult; Anesthesia, General; Anesthetics, Inhalation; Blood Pressu

2006
Pharmacokinetics of doxacurium during normothermic and hypothermic cardiopulmonary bypass surgery.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1998, Volume: 45, Issue:6

    Topics: Aged; Anesthetics, Inhalation; Anesthetics, Intravenous; Body Temperature; Cardiopulmonary Bypass; C

1998

Other Studies

19 other studies available for midazolam and Neuromuscular Blockade

ArticleYear
Prone positioning without neuromuscular blockade during extracorporeal membrane oxygenation in children.
    Pediatrics international : official journal of the Japan Pediatric Society, 2020, Volume: 62, Issue:5

    Topics: Adolescent; Child; Child, Preschool; Chlorpromazine; Dexmedetomidine; Extracorporeal Membrane Oxygen

2020
Premedication with neuromuscular blockade and sedation during neonatal intubation is associated with fewer adverse events.
    Journal of perinatology : official journal of the California Perinatal Association, 2019, Volume: 39, Issue:6

    Topics: Case-Control Studies; Fentanyl; Humans; Hypnotics and Sedatives; Infant, Newborn; Intensive Care Uni

2019
Distal tracheoesophageal fistula in pediatric patient - an anesthetic challenge.
    Paediatric anaesthesia, 2014, Volume: 24, Issue:8

    Topics: Accidental Falls; Adjuvants, Anesthesia; Airway Management; Androstanols; Anesthesia, Inhalation; An

2014
Current medication practice and tracheal intubation safety outcomes from a prospective multicenter observational cohort study.
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2015, Volume: 16, Issue:3

    Topics: Adolescent; Child; Child, Preschool; Critical Illness; Female; Fentanyl; Hemodynamics; Humans; Hypno

2015
Pharmacologic recipes for tracheal intubation in the PICU: what's on the menu?
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2015, Volume: 16, Issue:3

    Topics: Critical Illness; Female; Fentanyl; Humans; Intubation, Intratracheal; Ketamine; Male; Midazolam; Ne

2015
Composite auditory evoked potential index versus bispectral index to estimate the level of sedation in paralyzed critically ill patients: a prospective observational study.
    Anesthesia and analgesia, 2008, Volume: 107, Issue:4

    Topics: Analgesics, Opioid; Conscious Sedation; Critical Illness; Electroencephalography; Electromyography;

2008
Vecuronium requirement during liver transplantation under sevoflurane anesthesia.
    Journal of anesthesia, 2010, Volume: 24, Issue:5

    Topics: Aged; Analysis of Variance; Anesthesia, General; Anesthetics, Inhalation; Anesthetics, Intravenous;

2010
Possible augmentation of neuromuscular blockade by propofol during recovery from rocuronium.
    Journal of anesthesia, 2011, Volume: 25, Issue:3

    Topics: Adjuvants, Anesthesia; Adult; Androstanols; Anesthesia Recovery Period; Anesthesia, General; Anesthe

2011
Bispectral index monitoring (BIS) as a guide for intubation without neuromuscular blockade in office-based pediatric general anesthesia: a retrospective evaluation.
    Anesthesia progress, 2011,Spring, Volume: 58, Issue:1

    Topics: Administration, Oral; Adolescent; Ambulatory Care; Anesthesia, Dental; Anesthesia, General; Anesthet

2011
Underdosing of midazolam in emergency endotracheal intubation.
    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2003, Volume: 10, Issue:4

    Topics: Adolescent; Adult; Child; Child, Preschool; Emergency Medicine; Emergency Service, Hospital; Etomida

2003
Paramedic-administered neuromuscular blockade improves prehospital intubation success in severely head-injured patients.
    The Journal of trauma, 2003, Volume: 55, Issue:4

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Allied Health Personnel; Androstanols; Case-Control Stud

2003
An anaesthetic protocol in the young domestic pig allowing neuromuscular blockade for studies of cardiac function following cardioplegic arrest and cardiopulmonary bypass.
    Acta anaesthesiologica Scandinavica, 2004, Volume: 48, Issue:9

    Topics: Adjuvants, Anesthesia; Anesthesia; Anesthesia, Inhalation; Anesthetics, Intravenous; Animals; Cardio

2004
Tracheal intubation in routine practice with and without muscular relaxation: an observational study.
    European journal of anaesthesiology, 2005, Volume: 22, Issue:9

    Topics: Adult; Anesthetics, Intravenous; Atracurium; Female; Follow-Up Studies; Humans; Hydroxyzine; Hypnoti

2005
Antagonism of atracurium-induced block in obese patients.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1998, Volume: 45, Issue:1

    Topics: Adult; Anesthetics, Inhalation; Anesthetics, Intravenous; Atracurium; Body Mass Index; Body Weight;

1998
The response of patients with Duchenne's muscular dystrophy to neuromuscular blockade with vecuronium.
    Anesthesiology, 1998, Volume: 88, Issue:2

    Topics: Adolescent; Anesthetics, Combined; Anesthetics, Intravenous; Case-Control Studies; Child; Dose-Respo

1998
Intubation success rates improve for an air medical program after implementing the use of neuromuscular blocking agents.
    The American journal of emergency medicine, 1998, Volume: 16, Issue:2

    Topics: Adjuvants, Anesthesia; Adult; Air Ambulances; Anesthesia, Intravenous; Anesthetics, Local; Atropine;

1998
New equipment for neuromuscular transmission monitoring: a comparison of the TOF-Guard with the Myograph 2000.
    Journal of clinical monitoring and computing, 1998, Volume: 14, Issue:1

    Topics: Acceleration; Adolescent; Adult; Anesthesia Recovery Period; Anesthesia, General; Anesthetics, Inhal

1998
Quality of sedation during mechanical ventilation.
    Paediatric anaesthesia, 2000, Volume: 10, Issue:2

    Topics: Administration, Oral; Adolescent; Analgesics, Opioid; Arousal; Child; Child, Preschool; Chloral Hydr

2000
Recollection of children following intensive care.
    Archives of disease in childhood, 2000, Volume: 83, Issue:5

    Topics: Adolescent; Anti-Anxiety Agents; Attitude to Health; Child; Child, Preschool; Conscious Sedation; Cr

2000