Benzodiazepines

Benzodiazepines provide anxiolysis and amnesia but not anesthesia. They can be used alone as a sedative, or in conjunction with a narcotic or local anesthetic for a painful procedure. Midazolam (Versed) is a short-acting benzodiazepine that has an onset of action within 5 min and a duration of action of 30 to 45 min. Midazolam is safe and effective for use in the ED in children undergoing laceration repair, fracture reduction, and other painful procedures. 10 Adverse effects include respiratory depression and paradoxical inconsolability.11 Anecdotally, this latter effect appears to happen with increased frequency in children with attention deficit hyperactivity disorder, and is reversible with flumazenil.

Diazepam is a longer-acting benzodiazepine that has been used extensively as a sedative for children and has amnestic properties. Diazepam can be used for extended diagnostic procedures and for muscle relaxation for orthopedic reductions. It has been largely replaced by midazolam.

Getting to Know Anxiety

Getting to Know Anxiety

Stop Letting Anxiety Rule Your Life And Take Back The Control You Desire Right Now! You don't have to keep letting your anxiety disorder run your life. You can take back your inner power and change your life for the better starting today! In order to have control of a thing, you first must understand it. And that is what this handy little guide will help you do. Understand this illness for what it is. And, what it isn't.

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