The effectiveness of intravenous Midazolam for children undergoing echocardiography at Vietnam National Children’s hospital

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Pham, T. Y., Nguyen, T. V. A., Tran, T. H., Nguyen, T. H. P., Thị Thuận, Nguyen, T. V. A., Le, V. T., Ngo, T. H., Ung, T. L. N., Vu, T. V., & Le, T. T. (2023). The effectiveness of intravenous Midazolam for children undergoing echocardiography at Vietnam National Children’s hospital. Journal of Nursing Science, 6(05), 48–54. https://doi.org/10.54436/jns.2023.05.714

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Abstract

Objective: Initial evaluation of the effectiveness and side effects  of intravenous midazolam for children undergoing echocardiography at the Department of Outclinic Cardiac Exam and Diagnosis, Heart Center, Vietnam National Children’s Hospital. Subjects and methods: From Decber 2022 to March 2023, a prospective, cross-sectional study using a convenience sample  was conducted to examine the effectiveness of of intravenous midazolam on 312 children undergoing echocardiography at Department of Outclinic Cardiac Exam and Diagnosis , Vietnam National Children’s Hospital. Results: The median age and median weight of children in the study were 12 months (IQR = 15.4) and 8 kg(IQR = 3.6), respectively. Only 13 children (4.2%) needed the second dose of Midazolam to complete the echocardiography with a lower dose of of 0.125mg/kg/time (IQR = 0.06) compared to the first one. The median duration of the medication in effect was 5 minutes (IQR = 3.2). There were no children experiencing with signs of anaphylaxis, cyanosis, convulsions, respiratory failure or apnea. Conclusion: It is likely that the use of intravenous Midazolam for children is effective in promoting their collaboration with healthcare staff while minimising side effects during echocardiography procedures. 
https://doi.org/10.54436/jns.2023.05.714

Keywords

Thuốc Midazolam đường tiêm tĩnh mạch, bệnh nhi, siêu âm Doppler tim Intravenous Midazolam, Pediatric Patients, Doppler Ultrasonography of the Heart
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References

. Comparison of intranasal midazolam, intranasal ketamine, and oral chloral hydrate for conscious sedation during paediatric echocardiography: results of a prospective randomised study. Cardiology in the Young, 29(9), 1189-1195. doi:10.1017/S1047951119001835.

Bộ Y tế (2018), Dược thư Quốc gia Việt Nam 2018, NXB Y học. https://duocthuquocgia.com.

Nguyễn Lân Hiếu. Đại cương tim bẩm sinh. Lâm sàng tim bẩm sinh (trang 40 - 52). NXB Đại Học Quốc gia Hà Nội. 2021.

Stern, K. W., Gauvreau, K., Geva, T et al. The impact of procedural sedation on diagnostic errors in pediatric echocardiography. Journal of the American Society of Echocardiography, 2014, 27(9), 949-955. doi:10.1016/j.echo.2014.04.024.

Cécile Tissot, Vincent Muehlethaler, Nicole Sekarski. Basics of functional echocardiography in children and neonates. Frontiers in pediatrics, 2017, 5, 235. doi:10.3389/fped.2017.00235.

Toman, H., Erkılınc, A., Kocak, T et al (2016). Sedation for transesophageal echocardiography: comparison of propofol, midazolam and midazolam-alfentanil combination. Med Glas (Zenica), 13(1), 18-24.

Yildirim, S. V., Guc, B. U et al(2006). Oral versus intranasal midazolam premedication for infants during echocardiographic study. Advances in therapy, 23, 719-724. doi:10.1007/BF02850311.

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