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Emergence delirium in a child given oral midazolam for conscious sedation
1Department of Emergency Medicine, St Elizabeth Medical Center, Yakima, Washington.
Annals of Emergency Medicine
|December 1, 1994
Insights
Emergence delirium, a rare side effect, occurred in a toddler after receiving oral midazolam for conscious sedation. This is the first reported case linking oral midazolam to this adverse event in pediatric patients.
Area of Science:
- Pediatric Anesthesiology
- Pharmacology
- Neuroscience
Background:
- Conscious sedation is commonly used in pediatric procedures.
- Midazolam is a frequently used sedative agent.
- Oral midazolam offers a non-invasive route for sedation.
Observation:
- A 26-month-old girl developed emergence delirium.
- The event occurred after administration of oral midazolam.
- The patient's clinical course was closely monitored.
Findings:
- This case represents the first reported instance of emergence delirium associated with oral midazolam.
- The adverse event highlights a potential risk of oral midazolam in young children.
- Detailed clinical course provides valuable insights into the presentation and management.
Implications:
- Clinicians should be aware of the potential for emergence delirium with oral midazolam in pediatric patients.
- Further research is warranted to understand the incidence and risk factors.
- This finding may influence sedation protocols and patient monitoring in pediatric care.
Abstract:
We report a case of emergence delirium in a 26-month-old girl after she received oral midazolam to achieve conscious sedation. This patient's clinical course is discussed. To our knowledge this is the first reported case of emergence delirium related to use of oral midazolam.