Tuesday, January 28, 2014

Children and Midazolam

We often give midazolam, an anxiolytic, to children before surgery to keep them relaxed and prevent them from being traumatized by the operating room. Though I don't know myself, it's often described as feeling inebriated. For young children, we often give oral midazolam, and the effects are pretty amusing; they become ataxic, laugh uncontrollably, relax around strangers. But I've had a couple interesting experiences when giving midazolam IV to teenagers. Sometimes they share information around their parents that they probably didn't intend to. We try to avoid awkward situations, but sometimes we get the teenager who says that "it feels exactly like getting high" or reveals a secret tattoo. The truth is, though, the parents probably already knew.

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