Highlights ■ Intranasal midazolam with an atomizer is a treatment for pediatric status epilepticus. ■ In Brazil, the atomizer is often replaced with a syringe owing to the cost of the device. ■ We compared midazolam plasma levels with and without an atomizer in children with epilepsy. ■ No significant difference was found, supporting the syringe-only use in emergencies. ABSTRACT Objective: Convulsive status epilepticus is the most common neurological emergency in children with high morbidity and mortality rates. Intranasal midazolam […]