Midazolam administration at a department of pediatric radiology : conscious sedation for diagnostic imaging studies

2006
journal article
article
dc.abstract.enBackground: The aims of the study were to evaluate the usefulness of midazolam administration for sedation prior to some diagnostic examinations in children and to present the requirements and rules for sedation in departments of pediatric radiology. Material/Methods: From Oct. 2001 to Aug. 2005, two hundred children were investigated after conscious sedation with midazolam. The examinations were: voiding cystourethrography (129), voiding sonocystography (64), barium enema (3), ultrasonography (1), urography (1), X-ray of facial bone (1), and brain CT (1). The children's age-range was 4 months to 13 years 9 months. The decision for sedation was based on conversation with the child and/or parents, their experience with previous examinations, emotional status of the child, and exclusion of contraindications (renal insufficiency, hepatic failure, respiratory/circulatory insufficiency, allergy to benzodiazepines in anamnesis). Midazolam was given orally in a dose of 0.5 mg/kg body weight, 15-20 minutes before examination (already at the department of pediatric radiology). The parents were informed of the possible side effects and what to do after the procedure. Results: All diagnostic procedures with conscious sedation were well tolerated by the children and accepted by the parents. The parents with experience from previous diagnostic procedures indicated that they would want their child to have midazolam again if the examination needed to be repeated. No significant complications were observed in the children receiving midazolam and few adverse effect on voiding during cystourethrography. In three children (2.5, 3, and 5 years old), paradoxical reactions occurred (psychomotor agitation) which disappeared spontaneously after some minutes and had no influence on the procedure. Conclusions: Application of midazolam for conscious sedation diminished anxiety and discomfort from diagnostic procedures and short anterograde amnesia protected the child's mind from painful experience. Conscious sedation should be widely used in children in whom exact psychological preparation is impossible, and anxiety before examination can make it difficult or inaccessible.pl
dc.contributor.authorMądzik, Jarosławpl
dc.contributor.authorMarciński, Andrzejpl
dc.contributor.authorBrzewski, Michałpl
dc.contributor.authorKrzemień, Grażynapl
dc.contributor.authorJakubowska, Annapl
dc.contributor.authorRoik, Danutapl
dc.contributor.authorMajkowska, Zofiapl
dc.contributor.authorBiejat, Agnieszkapl
dc.date.accession2019-08-16pl
dc.date.accessioned2019-08-16T08:33:35Z
dc.date.available2019-08-16T08:33:35Z
dc.date.issued2006pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 96pl
dc.description.number3pl
dc.description.physical93-96pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume71pl
dc.identifier.articleid456704pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/80823
dc.identifier.weblinkhttp://archiwum.inforadiologia.pl/download/index/idArt/456704.htmlpl
dc.languagepolpl
dc.language.containerpolpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.ensedationpl
dc.subject.enmidazolampl
dc.subject.envoiding cystouretrographypl
dc.subtypeArticlepl
dc.titleMidazolam administration at a department of pediatric radiology : conscious sedation for diagnostic imaging studiespl
dc.title.alternativeZastosowanie midazolamu w zakładzie radiologii pediatrycznej : sedacja płytka przed diagnostycznymi badaniami obrazowymipl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
Background: The aims of the study were to evaluate the usefulness of midazolam administration for sedation prior to some diagnostic examinations in children and to present the requirements and rules for sedation in departments of pediatric radiology. Material/Methods: From Oct. 2001 to Aug. 2005, two hundred children were investigated after conscious sedation with midazolam. The examinations were: voiding cystourethrography (129), voiding sonocystography (64), barium enema (3), ultrasonography (1), urography (1), X-ray of facial bone (1), and brain CT (1). The children's age-range was 4 months to 13 years 9 months. The decision for sedation was based on conversation with the child and/or parents, their experience with previous examinations, emotional status of the child, and exclusion of contraindications (renal insufficiency, hepatic failure, respiratory/circulatory insufficiency, allergy to benzodiazepines in anamnesis). Midazolam was given orally in a dose of 0.5 mg/kg body weight, 15-20 minutes before examination (already at the department of pediatric radiology). The parents were informed of the possible side effects and what to do after the procedure. Results: All diagnostic procedures with conscious sedation were well tolerated by the children and accepted by the parents. The parents with experience from previous diagnostic procedures indicated that they would want their child to have midazolam again if the examination needed to be repeated. No significant complications were observed in the children receiving midazolam and few adverse effect on voiding during cystourethrography. In three children (2.5, 3, and 5 years old), paradoxical reactions occurred (psychomotor agitation) which disappeared spontaneously after some minutes and had no influence on the procedure. Conclusions: Application of midazolam for conscious sedation diminished anxiety and discomfort from diagnostic procedures and short anterograde amnesia protected the child's mind from painful experience. Conscious sedation should be widely used in children in whom exact psychological preparation is impossible, and anxiety before examination can make it difficult or inaccessible.
dc.contributor.authorpl
Mądzik, Jarosław
dc.contributor.authorpl
Marciński, Andrzej
dc.contributor.authorpl
Brzewski, Michał
dc.contributor.authorpl
Krzemień, Grażyna
dc.contributor.authorpl
Jakubowska, Anna
dc.contributor.authorpl
Roik, Danuta
dc.contributor.authorpl
Majkowska, Zofia
dc.contributor.authorpl
Biejat, Agnieszka
dc.date.accessionpl
2019-08-16
dc.date.accessioned
2019-08-16T08:33:35Z
dc.date.available
2019-08-16T08:33:35Z
dc.date.issuedpl
2006
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 96
dc.description.numberpl
3
dc.description.physicalpl
93-96
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
71
dc.identifier.articleidpl
456704
dc.identifier.eissnpl
1899-0967
dc.identifier.issnpl
1733-134X
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/80823
dc.identifier.weblinkpl
http://archiwum.inforadiologia.pl/download/index/idArt/456704.html
dc.languagepl
pol
dc.language.containerpl
pol
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
sedation
dc.subject.enpl
midazolam
dc.subject.enpl
voiding cystouretrography
dc.subtypepl
Article
dc.titlepl
Midazolam administration at a department of pediatric radiology : conscious sedation for diagnostic imaging studies
dc.title.alternativepl
Zastosowanie midazolamu w zakładzie radiologii pediatrycznej : sedacja płytka przed diagnostycznymi badaniami obrazowymi
dc.title.journalpl
Polish Journal of Radiology
dc.typepl
JournalArticle
dspace.entity.type
Publication
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