Intranasal Fentanyl and Midazolam for Procedural Analgesia and Anxiolysis in Pediatric Urgent Care Centers
Pediatric Emergency Care, ISSN: 1535-1815, Vol: 36, Issue: 9, Page: e494-e499
2020
- 5Citations
- 4Usage
- 35Captures
- 1Mentions
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations5
- Citation Indexes4
- CrossRef1
- Policy Citations1
- Policy Citation1
- Usage4
- Abstract Views4
- Captures35
- Readers35
- 35
- Mentions1
- Blog Mentions1
- Blog1
Article Description
Objectives Intranasal fentanyl and midazolam use is increasing in the acute care setting for analgesia and anxiolysis, but there is a lack of literature demonstrating their use, alone or in combination, at pediatric urgent care centers. Methods This retrospective study investigated intranasal fentanyl and midazolam use at an urgent care center located within Le Bonheur Children's Hospital and 2 affiliated off-site centers from September 22, 2011, to December 30, 2015. Data collected included patient demographics, initial fentanyl dose, initial midazolam dose, type of procedure, and serious adverse drug reactions. Results Of the 490 patients who met the inclusion criteria, 143 patients received intranasal fentanyl alone, 92 received intranasal midazolam alone, and 255 received fentanyl in combination with midazolam. The overall patient population was 50% male with a median (range) age of 4.5 (0.2-17.9) years, and most patients were black at 57.1%. The median (range) initial intranasal fentanyl dose was 2.02 (0.99-4.22) μg/kg, and the median initial (range) intranasal midazolam dose was 0.19 (0.07-0.42) mg/kg. In cases where fentanyl and midazolam were administered in combination, the median (range) initial fentanyl dose was 2.23 (0.6-4.98) μg/kg and median (range) initial midazolam dose was 0.2 (0.03-0.45) mg/kg. There were no serious adverse drug reactions reported. Conclusions Intranasal fentanyl and midazolam when administrated alone and in combination can provide analgesia and anxiolysis for minor procedures in pediatric patients treated in the urgent care setting.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85090177163&origin=inward; http://dx.doi.org/10.1097/pec.0000000000001782; http://www.ncbi.nlm.nih.gov/pubmed/30789872; https://journals.lww.com/10.1097/PEC.0000000000001782; https://digitalcommons.memphis.edu/facpubs/17170; https://digitalcommons.memphis.edu/cgi/viewcontent.cgi?article=18169&context=facpubs; https://dx.doi.org/10.1097/pec.0000000000001782; https://journals.lww.com/pec-online/toc/9000/00000
Ovid Technologies (Wolters Kluwer Health)
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