• Peter Templeton, David Burton, Eileen Cullen, Heather Lewis, Victoria Allgar, and Rowan Wilson.
• Department of Orthopaedic Surgery, The General Infirmary at Leeds, Leeds, UK. Peter.templeton@leedsth.nhs.uk
• J Pediatr Orthop. 2010 Mar 1; 30 (2): 130-4.

BackgroundUse of Kirschner wires (K-wires) is common in pediatric elbow fracture treatment. We investigate whether anxiety levels at removal of wires may be reduced using oral midazolam.MethodsThis was a prospective randomized controlled trial with 2 groups, with midazolam and with placebo.ResultsForty-two children with an average age of 7.1 years (range, 3.6-12.3 y) had complete documentation for analysis. The change in anxiety scores was not significantly different between the 2 groups. Forty-five percent of children in the midazolam group had reduced anxiety levels compared with 18% of children given placebo, but this difference was not significant (P=0.102). The anxiety scores before and after wire removal in the midazolam group were not significantly different from the placebo group scores.ConclusionsWe do not recommend the routine administration of midazolam (0.2 mg/kg) to all children requiring K-wire removal in the outpatient department.Level Of EvidenceI.

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