March 17, 2026 · The American journal of emergency medicine · DOI: 10.1016/j.ajem.2026.03.003

A comparison of high dose versus low dose intranasal midazolam for sedation in the pediatric emergency department

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The authors aimed to compare the efficacy of high-dose versus low-dose intranasal midazolam for sedation in pediatric emergency department patients, specifically assessing the need for additional rescue sedation medications. Their findings indicated that patients receiving high-dose midazolam (0.5 mg/kg) required fewer additional sedatives compared to those receiving low-dose midazolam (0.2 mg/kg), without increasing adverse events or length of stay in the emergency department.

Jarrett Bremmer, Preeyaporn Sarangarm, Ellen Fernandez, Tara Neubrand

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