Page last updated: 2024-10-31

midazolam and Pain, Procedural

midazolam has been researched along with Pain, Procedural 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.

Pain, Procedural: Pain associated with examination, treatment or procedures.

Research Excerpts

ExcerptRelevanceReference
"The addition of gabapentin to moderate sedation during D&E did not result in lower maximum recalled procedural pain."9.69Gabapentin as an adjunct for pain management during dilation and evacuation: A double-blind randomized controlled trial. ( Brant, AR; Floyd, S; Lotke, PS; Reeves, MF; Scott, RK; Tefera, E; Ye, PP, 2023)
"The aim of this study was to investigate how effective a combination of rectally administered midazolam and racemic ketamine was for reducing pain in paediatric cerebral palsy patients receiving intramuscular injections of botulinum neurotoxin A."9.24A rectally administered combination of midazolam and ketamine was easy, effective and feasible for procedural pain in children with cerebral palsy. ( Askljung, B; Brunsson, I; Himmelmann, K; Nilsson, S; Påhlman, M, 2017)
"The addition of gabapentin to moderate sedation during D&E did not result in lower maximum recalled procedural pain."5.69Gabapentin as an adjunct for pain management during dilation and evacuation: A double-blind randomized controlled trial. ( Brant, AR; Floyd, S; Lotke, PS; Reeves, MF; Scott, RK; Tefera, E; Ye, PP, 2023)
"The aim of this study was to investigate how effective a combination of rectally administered midazolam and racemic ketamine was for reducing pain in paediatric cerebral palsy patients receiving intramuscular injections of botulinum neurotoxin A."5.24A rectally administered combination of midazolam and ketamine was easy, effective and feasible for procedural pain in children with cerebral palsy. ( Askljung, B; Brunsson, I; Himmelmann, K; Nilsson, S; Påhlman, M, 2017)
"When administered ~5 min prior to entering the OR, propofol, 20mg IV, was as effective as midazolam 2mg IV in reducing anxiety."5.22Propofol versus midazolam for premedication: a placebo‑controlled, randomized double‑blinded study. ( Anand, KK; Cao, X; Elvir Lazo, OL; Hausman, J; Hemaya, EG; Hernandez Conte, A; Tang, J; Wender, RH; White, PF; Yumul, F; Yumul, R; Zhang, X, 2016)
" We included any duration of drug treatment and any dosage given continuously or as bolus; we excluded studies that gave opioids to ventilated infants for procedures."2.72Opioids for newborn infants receiving mechanical ventilation. ( Bellù, R; Bruschettini, M; de Waal, KA; Nava, C; Romantsik, O; Zanini, R, 2021)
" The primary outcome measures were adverse events and failed laceration repair."1.51Safety and effectiveness of intranasal midazolam and fentanyl used in combination in the pediatric emergency department. ( Cosgrove, P; Kienstra, AJ; Ryan, PM; Vezzetti, R; Wilkinson, M, 2019)
" Vital signs before and after dosing were not significantly different."1.51Intranasal midazolam and fentanyl for procedural sedation and analgesia in infants in the neonatal intensive care unit. ( Bidegain, M; Cotten, CM; Fisher, K; Goldberg, RN; Greenberg, RG; Hornik, CD; Ku, LC; Simmons, C; Smith, PB, 2019)
"The sevoflurane flow rate was 7±3 mL/h in INSP group, and 3."1.51Sevoflurane sedation for weaning from mechanical ventilation in pediatric intensive care unit. ( Groselj Grenc, M; Pavcnik, M, 2019)
" Adverse events in CAPS patients were recorded."1.51Computer-Assisted Propofol Sedation for Esophagogastroduodenoscopy Is Effective, Efficient, and Safe. ( Beecher, R; Chiorean, M; Drennan, F; Gluck, M; Koch, J; Kozarek, RA; La Selva, D; Larsen, M; Lin, OS; McCormick, S; Ross, A; Tombs, D; Venu, N; Weigel, W, 2019)
" There are no previous studies of validated anxiety scores with pharmacokinetic data to support optimal procedure timing."1.46Evaluating Clinical Effectiveness and Pharmacokinetic Profile of Atomized Intranasal Midazolam in Children Undergoing Laceration Repair. ( Adelgais, K; Bourne, D; Brent, A; Brou, L; Galinkin, J; Mellion, SA; Wathen, J, 2017)

Research

Studies (23)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's19 (82.61)24.3611
2020's4 (17.39)2.80

Authors

AuthorsStudies
Brant, AR1
Reeves, MF1
Ye, PP1
Scott, RK1
Floyd, S1
Tefera, E1
Lotke, PS1
Lund, M1
Erichsen, R1
Njor, SH1
Laurberg, S1
Valori, R1
Andersen, B1
Cinotti, R1
Besnard, N1
Desmedt, L1
Floch, RL1
Perrot, P1
Bekara, F1
Klouche, K1
Larcher, R1
Mahé, PJ1
Frasca, D1
Asehnoune, K1
Jung, B1
Roquilly, A1
Fernández-Cantalejo Padial, J1
Heras, E1
Hernández, B1
Jiménez, AB1
Martínez, A1
López-Herce, J1
Mencía, S1
Lai, SF1
Lam, MT1
Li, HWR1
Ng, EHY1
Bellù, R1
Romantsik, O1
Nava, C1
de Waal, KA1
Zanini, R1
Bruschettini, M1
Burns-Nader, S1
Joe, L1
Pinion, K1
Cevik, B1
Tuncer, M1
Erkal, KH1
Eryildirim, B1
Sarica, K1
Valori, RM1
Damery, S1
Gavin, DR1
Anderson, JT1
Donnelly, MT1
Williams, JG1
Swarbrick, ET1
Mellion, SA1
Bourne, D1
Brou, L1
Brent, A1
Adelgais, K1
Galinkin, J1
Wathen, J1
Wangüemert Pérez, AL1
González Expósito, H1
Pascual Fernández, L1
Nusrat, S1
Madhoun, MF1
Tierney, WM1
Chayapathi, V1
Kalra, M1
Bakshi, AS1
Mahajan, A1
Ryan, PM1
Kienstra, AJ1
Cosgrove, P1
Vezzetti, R1
Wilkinson, M1
Wang, Z1
Hu, Z1
Dai, T1
Cabadas Avión, R1
Baluja, A1
Ojea Cendón, M1
Leal Ruiloba, MS1
Vázquez López, S1
Rey Martínez, M1
Magdalena López, P1
Álvarez-Escudero, J1
Ku, LC1
Simmons, C1
Smith, PB1
Greenberg, RG1
Fisher, K1
Hornik, CD1
Cotten, CM1
Goldberg, RN1
Bidegain, M1
Pavcnik, M1
Groselj Grenc, M1
Grossmann, B1
Nilsson, A1
Sjöberg, F1
Nilsson, L1
Lin, OS1
La Selva, D1
Kozarek, RA1
Tombs, D1
Weigel, W1
Beecher, R1
Koch, J1
McCormick, S1
Chiorean, M1
Drennan, F1
Gluck, M1
Venu, N1
Larsen, M1
Ross, A1
Wall, SL1
Clarke, DL1
Allorto, NL1
Elvir Lazo, OL1
White, PF1
Tang, J1
Yumul, R1
Cao, X1
Yumul, F1
Hausman, J1
Hernandez Conte, A1
Anand, KK1
Hemaya, EG1
Zhang, X1
Wender, RH1
Nilsson, S1
Brunsson, I1
Askljung, B1
Påhlman, M1
Himmelmann, K1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Gabapentin as an Adjunct for Pain Management During Dilation and Evacuation: A Double-blind Randomized Controlled Trial[NCT03635905]Phase 4130 participants (Actual)Interventional2017-05-26Completed
A Randomized Study on Use of Virtual Reality Technology for Pain Relief in Transvaginal Oocyte Retrieval Under Conscious Sedation[NCT05218382]160 participants (Anticipated)Interventional2022-12-01Recruiting
Dose-Finding Study of Intranasal Midazolam for Procedural Sedation in Children[NCT04586504]Phase 1/Phase 2150 participants (Anticipated)Interventional2021-09-08Recruiting
Effect of an Adjunctive Sedative for the Patients With Histories of Paradoxical Reaction to Midazolam During Sedative Endoscopy[NCT03940391]220 participants (Anticipated)Interventional2019-05-01Enrolling by invitation
A Randomized Controlled Trial of Intranasal Fentanyl in Combination With Midazolam Versus Midazolam Alone for Analgesia and Anxiolysis During Pediatric Facial Laceration Repair[NCT04745260]100 participants (Anticipated)Interventional2021-03-01Not yet recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

2 reviews available for midazolam and Pain, Procedural

ArticleYear
Opioids for newborn infants receiving mechanical ventilation.
    The Cochrane database of systematic reviews, 2021, 03-17, Volume: 3

    Topics: Analgesics, Opioid; Bias; Child Development; Fentanyl; Heroin; Humans; Hypnotics and Sedatives; Infa

2021
The comparison of propofol and midazolam for bronchoscopy: A meta-analysis of randomized controlled studies.
    Medicine, 2018, Volume: 97, Issue:36

    Topics: Anesthetics, Intravenous; Bronchoscopy; Humans; Hypnotics and Sedatives; Midazolam; Pain, Procedural

2018

Trials

8 trials available for midazolam and Pain, Procedural

ArticleYear
Gabapentin as an adjunct for pain management during dilation and evacuation: A double-blind randomized controlled trial.
    Contraception, 2023, Volume: 118

    Topics: Dilatation; Double-Blind Method; Female; Fentanyl; Gabapentin; Humans; Midazolam; Nausea; Pain; Pain

2023
A randomized double-blinded non-inferiority trial comparing fentanyl and midazolam with pethidine and diazepam for pain relief during oocyte retrieval.
    Reproductive biomedicine online, 2020, Volume: 40, Issue:5

    Topics: Adult; Analgesics; Conscious Sedation; Diazepam; Double-Blind Method; Drug Therapy, Combination; Fem

2020
Computer tablet distraction reduces pain and anxiety in pediatric burn patients undergoing hydrotherapy: A randomized trial.
    Burns : journal of the International Society for Burn Injuries, 2017, Volume: 43, Issue:6

    Topics: Analgesics, Opioid; Anti-Anxiety Agents; Anxiety; Burns; Child; Child, Preschool; Computers, Handhel

2017
Use of diphenhydramine as an adjunctive sedative for colonoscopy in patients on chronic opioid therapy: a randomized controlled trial.
    Gastrointestinal endoscopy, 2018, Volume: 88, Issue:4

    Topics: Aged; Analgesics, Opioid; Anesthetics, Intravenous; Colonoscopy; Deep Sedation; Diphenhydramine; Fem

2018
A comparison of ketamine + midazolam to propofol for procedural sedation for lumbar puncture in pediatric oncology by nonanesthesiologists-a randomized comparative trial.
    Pediatric blood & cancer, 2018, Volume: 65, Issue:8

    Topics: Antineoplastic Agents; Child; Child, Preschool; Conscious Sedation; Female; Humans; Hypnotics and Se

2018
Rectal ketamine during paediatric burn wound dressing procedures: a randomised dose-finding study.
    Burns : journal of the International Society for Burn Injuries, 2019, Volume: 45, Issue:5

    Topics: Analgesics; Bandages; Burns; Child, Preschool; Dose-Response Relationship, Drug; Double-Blind Method

2019
Propofol versus midazolam for premedication: a placebo‑controlled, randomized double‑blinded study.
    Minerva anestesiologica, 2016, Volume: 82, Issue:11

    Topics: Anesthetics, Intravenous; Anxiety; Conscious Sedation; Double-Blind Method; Female; Humans; Hypnotic

2016
A rectally administered combination of midazolam and ketamine was easy, effective and feasible for procedural pain in children with cerebral palsy.
    Acta paediatrica (Oslo, Norway : 1992), 2017, Volume: 106, Issue:3

    Topics: Administration, Rectal; Adolescent; Botulinum Toxins, Type A; Cerebral Palsy; Child; Child, Preschoo

2017

Other Studies

13 other studies available for midazolam and Pain, Procedural

ArticleYear
The performance indicator of colonic intubation (PICI) in a FIT-based colorectal cancer screening program.
    Scandinavian journal of gastroenterology, 2019, Volume: 54, Issue:9

    Topics: Adenoma; Age Factors; Aged; Cecum; Clinical Competence; Colonic Polyps; Colonoscopy; Colorectal Neop

2019
Feasibility and impact of the implementation of a clinical scale-based sedation-analgesia protocol in severe burn patients undergoing mechanical ventilation. A before-after bi-center study.
    Burns : journal of the International Society for Burn Injuries, 2020, Volume: 46, Issue:6

    Topics: Adult; Analgesics, Opioid; Burns; Clinical Protocols; Controlled Before-After Studies; Dose-Response

2020
Results after implementation of a sedoanalgesia protocol for procedures in hospital environment.
    Revista chilena de pediatria, 2019, Volume: 90, Issue:6

    Topics: Analgesia; Analgesics, Non-Narcotic; Anesthesia; Child; Child, Preschool; Clinical Protocols; Family

2019
Procedural sedation and analgesia for pediatric shock wave lithotripsy: a 10 year experience of single institution.
    Urolithiasis, 2018, Volume: 46, Issue:4

    Topics: Adolescent; Age Factors; Analgesia; Analgesics; Child; Child, Preschool; Female; Humans; Hypnotics a

2018
A new composite measure of colonoscopy: the Performance Indicator of Colonic Intubation (PICI).
    Endoscopy, 2018, Volume: 50, Issue:1

    Topics: Age Factors; Aged; Cecum; Clinical Competence; Colonic Polyps; Colonoscopy; Female; Humans; Hypnotic

2018
Evaluating Clinical Effectiveness and Pharmacokinetic Profile of Atomized Intranasal Midazolam in Children Undergoing Laceration Repair.
    The Journal of emergency medicine, 2017, Volume: 53, Issue:3

    Topics: Adjuvants, Anesthesia; Administration, Intranasal; Anxiety; Child; Child, Preschool; Conscious Sedat

2017
Assessment of Midazolam Sedation in Ultrasound-Guided Percutaneous Biopsy of Peripheral Lung Lesions.
    Archivos de bronconeumologia, 2018, Volume: 54, Issue:6

    Topics: Aged; Aged, 80 and over; Anxiety; Biopsy, Fine-Needle; Case-Control Studies; Female; Humans; Hypnoti

2018
Safety and effectiveness of intranasal midazolam and fentanyl used in combination in the pediatric emergency department.
    The American journal of emergency medicine, 2019, Volume: 37, Issue:2

    Topics: Administration, Intranasal; Analgesics, Opioid; Anxiety; Child; Child, Preschool; Drug Therapy, Comb

2019
Effectiveness and safety of gastrointestinal endoscopy during a specific sedation training program for non-anesthesiologists.
    Revista espanola de enfermedades digestivas, 2019, Volume: 111, Issue:3

    Topics: Adult; Aged; Conscious Sedation; Endoscopy, Gastrointestinal; Female; Fentanyl; Gastroenterologists;

2019
Intranasal midazolam and fentanyl for procedural sedation and analgesia in infants in the neonatal intensive care unit.
    Journal of neonatal-perinatal medicine, 2019, Volume: 12, Issue:2

    Topics: Administration, Intranasal; Analgesics, Opioid; Arterial Pressure; Bradycardia; Catheterization, Per

2019
Sevoflurane sedation for weaning from mechanical ventilation in pediatric intensive care unit.
    Minerva anestesiologica, 2019, Volume: 85, Issue:9

    Topics: Adolescent; Analgesics, Opioid; Child; Child, Preschool; Conscious Sedation; Consciousness Disorders

2019
Computer-Assisted Propofol Sedation for Esophagogastroduodenoscopy Is Effective, Efficient, and Safe.
    Digestive diseases and sciences, 2019, Volume: 64, Issue:12

    Topics: Adult; Aged; Anesthesia Recovery Period; Anesthetics, Intravenous; Anesthetists; Blood Gas Monitorin

2019
Analgesia protocols for burns dressings: Challenges with implementation.
    Burns : journal of the International Society for Burn Injuries, 2019, Volume: 45, Issue:7

    Topics: Academic Medical Centers; Acetaminophen; Analgesics; Anesthetics, Inhalation; Bandages; Burns; Child

2019