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 […]

ABSTRACT Objective: To compare the anesthetic techniques using propofol and fentanyl versus midazolam and remifentanil associated with a paracervical block with lidocaine in performing ultrasound-guided transvaginal oocyte aspiration. Methods: A randomized double-blind clinical trial (#RBR-8kqqxh) performed in 61 women submitted to assisted reproductive treatment. The patients were divided into two groups: anesthetic induction with 1mcg/kg of fentanyl associated with 1.5mg/kg of propofol (FP Group, n=32), in comparison with anesthetic induction using 0.075mg/kg of midazolam associated with 0.25mcg/kg/min of remifentanil, and […]