Page last updated: 2024-10-31

midazolam and Seizures, Febrile

midazolam has been researched along with Seizures, Febrile in 14 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.

Seizures, Febrile: Seizures that occur during a febrile episode. It is a common condition, affecting 2-5% of children aged 3 months to five years. An autosomal dominant pattern of inheritance has been identified in some families. The majority are simple febrile seizures (generally defined as generalized onset, single seizures with a duration of less than 30 minutes). Complex febrile seizures are characterized by focal onset, duration greater than 30 minutes, and/or more than one seizure in a 24 hour period. The likelihood of developing epilepsy (i.e., a nonfebrile seizure disorder) following simple febrile seizures is low. Complex febrile seizures are associated with a moderately increased incidence of epilepsy. (From Menkes, Textbook of Child Neurology, 5th ed, p784)

Research Excerpts

ExcerptRelevanceReference
"To determine effectiveness of intramuscular midazolam to control acute seizures in children as compared to intravenous diazepam."9.11Intramuscular midazolam vs intravenous diazepam for acute seizures. ( Deshmukh, CT; Shah, I, 2005)
"Fosphenytoin (fPHT) and continuous intravenous midazolam (cMDL) had commonly been used as second-line treatments for pediatric status epilepticus (SE) in Japan."7.88Fosphenytoin vs. continuous midazolam for pediatric febrile status epilepticus. ( Fujita, K; Iijima, K; Ishida, Y; Kurosawa, H; Maruyama, A; Morioka, I; Nagase, H; Nishiyama, M; Nozu, K; Takada, S; Tanaka, T; Taniguchi-Ikeda, M; Tomioka, K; Toyoshima, D; Uetani, Y; Yamaguchi, H, 2018)
"To determine effectiveness of intramuscular midazolam to control acute seizures in children as compared to intravenous diazepam."5.11Intramuscular midazolam vs intravenous diazepam for acute seizures. ( Deshmukh, CT; Shah, I, 2005)
"Fosphenytoin (fPHT) and continuous intravenous midazolam (cMDL) had commonly been used as second-line treatments for pediatric status epilepticus (SE) in Japan."3.88Fosphenytoin vs. continuous midazolam for pediatric febrile status epilepticus. ( Fujita, K; Iijima, K; Ishida, Y; Kurosawa, H; Maruyama, A; Morioka, I; Nagase, H; Nishiyama, M; Nozu, K; Takada, S; Tanaka, T; Taniguchi-Ikeda, M; Tomioka, K; Toyoshima, D; Uetani, Y; Yamaguchi, H, 2018)
"Eclampsia is specifically addressed by 85% (28/33) of agencies."1.46Prehospital Care for the Adult and Pediatric Seizure Patient: Current Evidence-based Recommendations. ( Brown, JF; Gausche-Hill, M; Gilbert, GH; Koenig, KL; Lemieux, JM; Rudnick, EM; Salvucci, AA; Silverman, EC; Sporer, KA, 2017)

Research

Studies (14)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's10 (71.43)29.6817
2010's4 (28.57)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Silverman, EC1
Sporer, KA1
Lemieux, JM1
Brown, JF1
Koenig, KL1
Gausche-Hill, M1
Rudnick, EM1
Salvucci, AA1
Gilbert, GH1
Nishiyama, M1
Nagase, H1
Tomioka, K1
Tanaka, T1
Yamaguchi, H1
Ishida, Y1
Toyoshima, D1
Fujita, K1
Maruyama, A1
Kurosawa, H1
Uetani, Y1
Nozu, K1
Taniguchi-Ikeda, M1
Morioka, I1
Takada, S1
Iijima, K1
Yano, T1
Okubo, S1
Naruo, H1
Iwasaki, T1
Takasaki, M1
Tsuneyoshi, I1
Saz, EU1
Karapinar, B1
Ozcetin, M1
Polat, M1
Tosun, A1
Serdaroglu, G1
Gokben, S1
Tekgul, H1
Aksu, R1
Kumandas, S1
Akin, A1
Bicer, C1
Gümüş, H1
Güler, G1
Per, H1
Bayram, A1
Boyaci, A1
Riedl, B1
Shah, I1
Deshmukh, CT1
Koren, G1
Lahat, E1
Goldman, M1
Barr, J1
Bistritzer, T1
Berkovitch, M1
Scott, RC1
Besag, FM1
Neville, BG1
Johnson, T1
Harnden, A1
Phillips, B1
Appleton, R1
Wassner, E1
Morris, B1
Fernando, L1
Rao, M1
Whitehouse, WP1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
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

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

3 trials available for midazolam and Seizures, Febrile

ArticleYear
The comparison of the effects of dexmedetomidine and midazolam sedation on electroencephalography in pediatric patients with febrile convulsion.
    Paediatric anaesthesia, 2011, Volume: 21, Issue:4

    Topics: Blood Pressure; Child; Child, Preschool; Conscious Sedation; Dexmedetomidine; Dose-Response Relation

2011
Intramuscular midazolam vs intravenous diazepam for acute seizures.
    Indian journal of pediatrics, 2005, Volume: 72, Issue:8

    Topics: Anticonvulsants; Child; Child, Preschool; Diazepam; Humans; Infant; Injections, Intramuscular; Injec

2005
Comparison of intranasal midazolam with intravenous diazepam for treating febrile seizures in children: prospective randomised study.
    BMJ (Clinical research ed.), 2000, Jul-08, Volume: 321, Issue:7253

    Topics: Administration, Intranasal; Anticonvulsants; Child; Child, Preschool; Diazepam; Female; Humans; Infa

2000

Other Studies

11 other studies available for midazolam and Seizures, Febrile

ArticleYear
Prehospital Care for the Adult and Pediatric Seizure Patient: Current Evidence-based Recommendations.
    The western journal of emergency medicine, 2017, Volume: 18, Issue:3

    Topics: Administration, Intranasal; Administration, Intravenous; Adult; Anticonvulsants; Benzodiazepines; Ca

2017
Fosphenytoin vs. continuous midazolam for pediatric febrile status epilepticus.
    Brain & development, 2018, Volume: 40, Issue:10

    Topics: Anticonvulsants; Child; Child, Preschool; Cohort Studies; Female; Humans; Infant; Male; Midazolam; O

2018
Two cases with past and family history of febrile convulsion developed seizure-like movements during sevoflurane anesthesia.
    Anesthesiology, 2008, Volume: 109, Issue:3

    Topics: Anesthesia, General; Anesthetics, Inhalation; Anesthetics, Intravenous; Appendectomy; Appendicitis;

2008
Convulsive status epilepticus in children: etiology, treatment protocol and outcome.
    Seizure, 2011, Volume: 20, Issue:2

    Topics: Anticonvulsants; Child; Child, Preschool; Diazepam; Encephalitis; Female; Humans; Infant; Male; Meni

2011
[A common emergency in childhood. Febrile convulsions -- what to do?].
    MMW Fortschritte der Medizin, 2003, Feb-27, Volume: 145, Issue:9

    Topics: Acetaminophen; Administration, Rectal; Age Factors; Analgesics, Non-Narcotic; Anticonvulsants; Clona

2003
Intranasal midazolam for febrile seizures. A step forward in treating a common and distressing condition.
    BMJ (Clinical research ed.), 2000, Jul-08, Volume: 321, Issue:7253

    Topics: Administration, Intranasal; Child; Humans; Midazolam; Seizures, Febrile

2000
Intranasal midazolam for treating febrile seizures in children. Buccal midazolam should be preferred to nasal midazolam.
    BMJ (Clinical research ed.), 2001, Jan-13, Volume: 322, Issue:7278

    Topics: Administration, Intranasal; Administration, Oral; Anticonvulsants; Humans; Midazolam; Seizures, Febr

2001
Intranasal midazolam for treating febrile seizures in children. Caution is advised in interpreting trial conclusions.
    BMJ (Clinical research ed.), 2001, Jan-13, Volume: 322, Issue:7278

    Topics: Administration, Intranasal; Anticonvulsants; Humans; Midazolam; Seizures, Febrile; Treatment Outcome

2001
Intranasal midazolam for treating febrile seizures in children. Caution is required in applying hospital based evidence to primary care population.
    BMJ (Clinical research ed.), 2001, Jan-13, Volume: 322, Issue:7278

    Topics: Administration, Intranasal; Anticonvulsants; Child; Hospitalization; Humans; Midazolam; Seizures, Fe

2001
Intranasal midazolam for treating febrile seizures in children. Safety is as important as efficacy.
    BMJ (Clinical research ed.), 2001, Jan-13, Volume: 322, Issue:7278

    Topics: Administration, Intranasal; Anticonvulsants; Child; Humans; Midazolam; Seizures, Febrile

2001
Intranasal midazolam for treating febrile seizures in children. Buccal midazolam for childhood seizures at home preferred to rectal diazepam.
    BMJ (Clinical research ed.), 2001, Jan-13, Volume: 322, Issue:7278

    Topics: Administration, Oral; Administration, Rectal; Anticonvulsants; Child; Diazepam; Humans; Midazolam; S

2001