Journal
INTERNATIONAL JOURNAL OF CLINICAL PHARMACY
Volume 37, Issue 1, Pages 1-3Publisher
SPRINGER
DOI: 10.1007/s11096-014-0050-7
Keywords
Anesthesia; Child; Cornelia de Lange syndrome; Adverse drug reaction; Predictability
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Preoperative use of midazolam sedation is mandatory during induction of anesthesia in noncooperative and hyperactive children to prevent possible obstacles. Unusual drug reactions rarely occur in patients undergoing anesthesia or in intensive care unit. This report describes an unpredictable drug reaction after a routine midazolam premedication in a patient with no history of allergy. There has been no literature data yet to show that midazolam can provoke respiratory problems in patients with Cornelia de Lange Syndrome. In our opinion midazolam should be avoided in patients with Cornelia de Lange Syndrome, which we enforced after first unpredictable reaction.
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