Incidence and predictors of nonresponse to intranasal midazolam in children undergoing laceration repair
Nearly half of the children in our sample exhibited extreme procedural anxiety despite receiving INM. The high incidence of nonresponse to INM has important clinical practice implications and suggests that 0.2 mg/kg INM alone may not be sufficient to manage all pediatric procedural anxiety in the ED. Findings highlight a need for further research examining multimodal strategies to manage procedural anxiety in the pediatric ED, particularly for younger children with low sociability temperament or extremity lacerations.
Authors
- Kelly Bauer
- Helen H. Lee (ORCID: https://orcid.org/0000-0003-1102-0464)
- Sarah R. Martin (ORCID: https://orcid.org/0000-0002-3100-9839)
- Theodore Heyming (ORCID: https://orcid.org/0000-0003-0498-6375)
- Zeev N. Kain (ORCID: https://orcid.org/0000-0001-5819-9196)
- Jenny Zhu
Institutions
- Children's Hospital of Orange County (US)
- University of California, Irvine (US)
- Yale University (US)
Publication Details
- Journal
- Academic Emergency Medicine
- Published
- 2025-02-03
- DOI
- https://doi.org/10.1111/acem.15106
- Citations
- 1
- Primary Topic
- Pediatric Pain Management Techniques
- Type
- article
- Field-Weighted Citation Impact
- 3.49
Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development