Use of intranasal midazolam for manual separation of labial adhesions in the office.

J Pediatr Adolesc Gynecol

Department of Pediatrics, Queen's University, Kingston, Ontario, Canada.

Published: June 2013

Use of orally administered flavored midazolam elixir in the office setting has been previously described as an alternative to general anesthetic for manual separation of severe or persistent labial adhesions. We share the technique of using atomized intranasal midazolam for sedation (and amnesia) that has quicker onset, shorter duration, and well described safety and patient tolerance. This technique eliminates the problems associated with a child who refuses to swallow the elixir.

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http://dx.doi.org/10.1016/j.jpag.2013.02.001DOI Listing

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