title: Use of intranasal midazolam for manual separation of labial adhesions in the office.
abstract: 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.
authors.affiliation: Department of Pediatrics, Queen's University, Kingston, Ontario, Canada. ackera@hdh.kari.net
authors.forename: Amy
authors.initials: A
authors.lastname: Acker
authors.forename: Mary Anne
authors.initials: MA
authors.lastname: Jamieson
mesh_terms: D000281:Administration, Intranasal; D000553:Ambulatory Care / Q000379:methods*; D002648:Child; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage*; D008874:Midazolam / Q000008:administration & dosage*; D000267:Tissue Adhesions / Q000628:therapy; D014845:Vulvar Diseases / Q000628:therapy*
chemical_list: D006993:Hypnotics and Sedatives; D008874:Midazolam