-
Pediatric emergency care · Apr 2015
Case ReportsIntranasal midazolam for the emergency management of hypercyanotic spells in tetralogy of fallot.
- Jesus Vallejo Montero, Esther Moreno Nieto, Inmaculada Rubio Vallejo, and Sergio Vallejo Montero.
- From the *Department of Emergency Medicine, Hospital SAS Jerez de la Frontera, †Emergency Medical Service, SAS, Chiclana de la Frontera; and ‡Facultad de Farmacia, Sevilla, Spain.
- Pediatr Emerg Care. 2015 Apr 1;31(4):269-71.
AbstractThe case of a 2-month-old boy with previously diagnosed tetralogy of Fallot who was brought to the emergency department with a hypercyanotic spell is described. Because partly of the difficulty of intravenous placement, especially in an infant crying with marked hypernea and deeply cyanotic, intranasal midazolam was administered. Before 3 minutes of hypernea terminated increasing the oxygen saturation successfully and intravenous line was easily placed with the baby remaining in calm. Sedation is an important step in the management of patients with cyanotic spells. Intranasal midazolam offers an alternative use as an initial method of calming the child that was effective in a patient with a severe cyanotic spell because of tetralogy of Fallot in the emergency department.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..