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Experience with triazolam in preschool children
F C Quarnstrom1, P Milgrom, P A Moore
1Department of Dental Public Health Sciences and the Regional Clinical Dental Research Center, University of Washington, Seattle.
Insights
Preoperative triazolam administration in unmanageable children did not cause airway obstruction or low oxygen saturation. While older children showed slightly lower oxygen levels, dosage did not correlate with these values.
Area of Science:
- Pediatric Anesthesiology
- Pharmacology
Background:
- Managing unmanageable children during preoperative procedures presents challenges.
- Sedation is often necessary to ensure patient safety and procedural success.
Purpose of the Study:
- To evaluate the safety and efficacy of preoperative triazolam in unmanageable pediatric patients.
- To assess the impact of triazolam on airway patency and oxygen saturation in young children.
Main Methods:
- Seventeen unmanageable children (22-65 months) received triazolam (0.125-0.25 mg) preoperatively.
- Continuous monitoring included visual assessment and pulse oximetry.
Main Results:
- No instances of airway obstruction were observed.
- All children maintained oxygen saturation above 90%.
- Older children exhibited lower SaO2 values compared to younger children, independent of dosage (mg/kg).
Conclusions:
- Preoperative triazolam is a safe option for sedating unmanageable children.
- Monitoring oxygen saturation is crucial, with age being a potential influencing factor.
Abstract:
Triazolam (0.125 to 0.25 mg) was administered preoperatively to 17 unmanageable children aged 22 to 65 months. The children were monitored visually and by pulse oximeter. No child experienced any airway obstruction and none had oxygen saturation below 90%. Older children had lower SaO2 values than younger children. There was no relationship between the mg/kg dose and SaO2 values.