Evidence map›Paper›PMID 35903521›Full record

ReviewSaudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society2022

Sedation level with midazolam: A pediatric surgery approach.

Carmen Flores-Pérez, Luis Alfonso Moreno-Rocha, Juan Luis Chávez-Pacheco, Norma Angélica Noguez-Méndez, Janett Flores-Pérez, María Fernanda Alcántara-Morales, Luz Cortés-Vásquez, Lina Sarmiento-Argüello

Abstract readReview
In one paragraph

Review in Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Carmen Flores-PérezLaboratorio de Farmacología, Instituto Nacional de Pediatría (INP), Ciudad de México, México.
Luis Alfonso Moreno-RochaLaboratorio de Farmacocinética y Farmacodinamia, UAM Xochimilco, Ciudad de México, México.
Juan Luis Chávez-PachecoLaboratorio de Farmacología, Instituto Nacional de Pediatría (INP), Ciudad de México, México.
Norma Angélica Noguez-MéndezLaboratorio de Farmacia Molecular y de Liberación Controlada, UAM Xochimilco, Ciudad de México, México.
Janett Flores-PérezLaboratorio de Farmacología, Instituto Nacional de Pediatría (INP), Ciudad de México, México.
María Fernanda Alcántara-MoralesLaboratorio de Farmacología, Instituto Nacional de Pediatría (INP), Ciudad de México, México.
Luz Cortés-VásquezDepartamento de Anestesiología, INP, Ciudad de México, México.
Lina Sarmiento-ArgüelloDepartamento de Anestesiología, INP, Ciudad de México, México.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Midazolam (MDZ) is a short-acting benzodiazepine that is widely used to induce and maintain general anesthesia during diagnostic and therapeutic procedures in pediatric patients due to its sedative properties. The aim of this study was to perform a systematic review without a meta-analysis to identify scientific articles and clinical assays concerning MDZ-induced sedation for a pediatric surgery approach. One hundred and twenty-eight results were obtained. After critical reading, 37 articles were eliminated, yielding 91 publications. Additional items were identified, and the final review was performed with a total of 106 publications. In conclusion, to use MDZ accurately, individual patient characteristics, the base disease state, comorbidities, the treatment burden and other drugs with possible pharmacological interactions or adverse reactions must be considered to avoid direct alterations in the pharmacokinetics and pharmacodynamics of MDZ to obtain the desired effects and avoid overdosing in the pediatric population.

Indexed as

Adverse reactionsBIS, Bispectral indexCL, ClearanceCNS, Central nervous systemEEG, ElectroencephalogramGABA, Gamma-aminobutyric acidMDZ, MidazolamMidazolamNONMEM, Nonlinear mixed effects modelingPediatricsPharmacokinetics-pharmacodynamicsPharmacological interactionsPopPK, Population pharmacokineticsSedationt1/2, Elimination half-lifeVd, Distribution volume

Identifiers

PMID35903521
PMCPMC9315275

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.