{Reference Type}: Journal Article
{Title}: Clinical Evaluation of Oral Midazolam Containing Cyclodextrin in Pediatric Magnetic Resonance: A Retrospective Cohort Study.
{Author}: Garra R;Piersanti A;Del Vicario M;Pizzo CM;Festa R;Tosi F;Sbaraglia F;Spano MM;Della Sala F;Rossi M;
{Journal}: J Pers Med
{Volume}: 14
{Issue}: 5
{Year}: 2024 Apr 29
{Factor}: 3.508
{DOI}: 10.3390/jpm14050472
{Abstract}: <B>BACKGROUND: </B>Reducing a child's level of anxiety before magnetic resonance imaging (MRI) procedures allows for better behavioral outcomes. The aim of this retrospective study was to evaluate anxiolytic efficacy of Midazolam/γ-cyclodextrin oral formulation.<BR><B>METHODS: </B>We retrospectively reviewed 100 medical charts of children who, between 1 February and 31 July 2022, underwent MRI under general anesthesia with or without premedication with midazolam/γ-cyclodextrin. Primary outcome was comparison of behavior to facemask positioning, while secondary endpoints were degree of drugs acceptance, anxiolytic effect evaluation, child's behavior on separation, and sevoflurane need.<BR><B>RESULTS: </B>Facemask positioning was accepted by 58% of the midazolam/γ-cyclodextrin group compared to 22% of children in the control group. The rate of acceptance was >90%. At the moment of separation from parent, none of the premedicated children needed to be restrained compared to 18% in the control group. A lower percentage of sevoflurane was needed for eye-closure at induction of anesthesia and for anesthesia maintenance. At emergence from anesthesia, 46% of children in the premedicated group compared to 66% of children in the control group showed transient agitation.<BR><B>CONCLUSIONS: </B>Midazolam/γ-cyclodextrin showed a good profile of acceptance, satisfactory anxiolytic properties, and reduced need for anesthetics when administered to children before MRI under general anesthesia.