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Implementation of Intranasal Midazolam for Prolonged Seizures in a Child Neurology Practice

Daniel Crawford

    The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
    |September 8, 2016
    PubMed

    Insights

    Intranasal midazolam is an effective treatment for prolonged seizures in children. This project successfully implemented its use in a pediatric neurology practice, significantly increasing prescriptions.

    Area of Science:

    • Pediatric Neurology
    • Emergency Medicine
    • Pharmacology

    Background:

    • Intranasal midazolam is evidence-based for treating prolonged seizures in children.
    • Despite proven efficacy, it's not a standard care option.
    • Implementation challenges hinder widespread adoption.

    Purpose of the Study:

    • To implement intranasal midazolam as a rescue medication for prolonged seizures in a pediatric neurology practice.
    • To develop a replicable model for other practice sites.
    • To assess provider attitudes and usage patterns.

    Main Methods:

    • Developed a process for intranasal midazolam availability.
    • Created an educational intervention for healthcare providers.
    • Conducted provider surveys on attitudes and prescribing frequency.

    Main Results:

    • Successfully integrated intranasal midazolam into practice.
    • Observed a significant increase in intranasal midazolam prescriptions.
    • Provider surveys indicated a positive shift in attitudes and usage.

    Conclusions:

    • Implementation of intranasal midazolam as a rescue medication is feasible and effective.
    • The developed model can guide other practices in adopting this treatment.
    • Increased prescribing demonstrates successful integration into clinical practice.

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