CASE REPORT
Year : 2017  |  Volume : 11  |  Issue : 4  |  Page : 476-478

Intentional intra-arterial injection of midazolam in a patient with status epilepticus in the intensive care unit


Department of Anaesthesia, Aga Khan University, Karachi, Pakistan

Correspondence Address:
Muhammad Asghar Ali
Department of Anaesthesia, Aga Khan University, Karachi
Pakistan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.SJA_93_17

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Fundamental medical care includes intravenous (IV) access which provides prompt resuscitation and reliable delivery of analgesics, antibiotics, and vasoactive medication. Difficult access populations, especially in critical area, continue to challenge providers to consider and utilize alternative means to provide IV access. Potential options under such circumstances include intramuscular, intraosseous, and intratracheal drug administration, but in extreme cases where no other options are available, intra-arterial route might be considered. We present a case where midazolam was intentionally injected intra-arterially to abort seizure activity in a patient with status epilepticus in the Intensive Care Unit.


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