Midazolam (Versed) - Critical Care Medications

[@ICUAdvantage]

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Thank you, as a junior doctor, these videos are really helpful to recollect.

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I am very much a visual learner too (if that isn't obvious) hence why I love teaching in this style 😊

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Thanks for these uploads. Really helping during the last semester of nursing school. Thanks Mr Watson. Hello from AZ 🌵

[@ICUAdvantage]

Awesome man. Congrats on being almost done. Its a great feeling. And I do miss AZ. Spent a lot of time at BUMCP (former Good Sam) before the move here to NC.

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your voice makes me continue learning! great video!

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[@dharkbizkit]

i always read different descriptions about it. some say it puts you into a sleeping state, others say, your still awake and you can still sense anything.

[@silverstrings5569]

On our ambulance, we have 10mg/2ml and/or 5mg/2ml concentrations (depending on what is on backorder). I've given a lot of versed IM, even when in the hospital setting.

[@michaelburatovich3199]

That was a splendid lesson. It seems as though midazolam is used by anesthesiologists to calm anxious patients. My problem with this medication is the hangover when folks wake up. It is as though they're drunk. As if getting over the propofol was terrible enough, they must deal with ataxia and nausea.

[@kathleenschoultz]

yes it is used for anxiety. you dont need any midazolam do pull out your teeth. its enough with just numbness. im promise you every one.

[@heyguysiguessthatsit438]

​@kathleenschoultz the nitrous basically (almost) totally numbs mouth anyway dunno why you'd be given versed

[@recepteur_de_type_toll]

All of these videos have been super helpful, especially the ones on crit care drugs. Do you think that you could do a video on LVADs and the ACLS management of LVAD patients with loss of consciousness?

[@alanfrank6166]

Great stuff, Eddie! I’m looking forward to the launch of your website today. Your content is clear and concise. Great work!

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[@ICUAdvantage]

Lifelong learning! ❤️

[@Bmarker299]

Excellent! You efforts are appreciated

[@ICUAdvantage]

Thank you so much 😀

[@kikomagana1990]

In the Pyxis at work we have the 5mg/mL vial and it’s so annoying when that’s all we have and they order 1mg 😭

[@Maexwellus]

We have got the 5mg/ml concentration in germany we use that for the MAD Atomizer when breaking through seizures. It comes in a 15mg/3ml Ampule

[@kennykeshi7680]

We also have this same presentation in Zambia... For use is for sedation especially patients on mechanical ventilation.. and in convulsions

[@brianthomas5617]

Thank you for this excellent video! My daughter has high anxiety due to autism and, thus medical procedures have always been a challenge as a result. She needs to have several teeth extracted and the dentist has recommended versed via oral syrup. I have two questions: 1. Will this truly make her sedated enough to prevent her from resisting during the extraction and not feeling pain? 2. Is there any risk of major adverse events such as permanent neurological damage and/or death? I know that sounds extreme but the paperwork lists these as things that we must sign to agree to as possibilities. Thank you very much!

[@emilybaer3269]

You should do phenylephrine and vasopressin!

[@phizzhead53]

6:20 the guy who has been drinking a gallon of vodka daily for the last 5 years and then attempts cold turky by himself then ends up in the icu.

[@calvindavis7591]

Has an EGD Fentanyl/ Midazolam anesthesia. Had a serious bought of amnesia for 24hrs. Talked with the nurses administering medication and their thoughts were my body didn’t metabolize the midazolam as quickly as it should. This medical facility uses Fentanyl/ midazolam instead of profanal. I understand that profanal has a half life that is half of midazolam. I’ve had several procedures with profanal anesthesia and always recovered quickly without complications. Is there a benefit of midazolam for a 15min procedure? My liver test have always been good.

[@marjanmathilda1475]

Thank you !

[@dmmurray9422]

I'm in for CEUs. I love ICU advantage

[@ICUAdvantage]

thank you! I look forward to seeing you over there. Appreciate your support!

[@chuckedgerton8555]

Thank you very much

[@ICUAdvantage]

You are welcome Chuck!

[@dgmnhn2098]

Thanks, Sir !

[@ICUAdvantage]

Most welcome!

[@robertahnen762]

Please include ETCo2 monitoring for the sedated patient. Thank you.

[@ICUAdvantage]

Yes excellent point!

[@Thegeed]

One of our pulmonologist hates this medication. Wants us to use it only as a last resort. First resort usually being fent and prop. He said it’s takes forever to get out of the patients system. I was thinking he said kidneys from your vid looks like the liver. Any insight?

[@ICUAdvantage]

He is exactly right. Especially high doses of versed for extended periods. It can take a while to fully clear from it. But to your question, it is metabolized by the liver into active metabolites and then those are excreted via the kidneys.

[@Ifynwabudike]

In Uk we use generic names only not brand names…. It minimizes errors

[@paymenomind1604]

We learn the generic name here. Then we use both.

[@ICUAdvantage]

Ideally yeah, but reality is here the trade names are used a lot, if not more often than the generics so I think its important to mention both.

[@leochen3020]

We just have a patient yesterday is intubated on versed drip for status epilepticus and we are almost max to 2mg/kg/hr so we almost 100mg per hour and she is still having seizures.the drip was run out so fast in half hour even the max concentration. What else can we do?

[@ICUAdvantage]

Yikes thats a lot! I don't think I've seen it that high! Honestly when the benzo gtt doesn't seem to do the trick, then pentobarbital coma with continuous EEG and burst suppression is what I've typically seen.

[@brandonbock4763]

Propofol

[@Meeounn]

Propofol?

[@DigitalSoldier-yy1yl]

Surprised you didn’t mention the use of midazolam for alcohol withdrawal patients in the ICU (mMINDS protocol).

[@ICUAdvantage]

I just haven't personally seen it used much. Typically for benzos we use diazepam or lorazepam as they are longer acting.

[@jat6547]

Just today April 2024. Cataract surgery they gave me Versad. I asked for one more shot th ed y refused..

[@fingerdreck2328]

How about i.m. in case of status epilepticus? Is it indicated and which dose?

[@ICUAdvantage]

I've never seen it given this way, but I know it can be given IM. Looks like what I'm finding is the dose for status is 10mg IM.

[@ghadaelbehiry5155]

Great 👏👏👏👏👏👏👏

[@susankilleen2011]

Awesome

[@ICUAdvantage]

Thank you Susan!

[@bleudiamonds]

Hi there! May I private message you in regards to starting a nursing educational YT channel and copyright do's and don't ?

[@DrSohailZahir]

❤❤❤

[@phizzhead53]

3:56 kleptomania , because benxos 😂😂😂

[@lucasdumb4626]

Clobazam, clonaze and versed. I do really think that's a thing, the impulses seizure meds give me. Especially because temporal sclerosis the drugs don't work that well, going from one med to another. At fred meyer with my dad I'm contemplating "should i take this, no employee sees me?" When i don't need to. Makes you crazy

[@charlesvelasco3357]

How does one access the lessons notes?

[@ICUAdvantage]

Hey Charles. First off thanks so much for the support. KZbin doesn’t make it easy to find unfortunately. If you go to the main ICU Advantage YT channel then click on the “Community” tab you’ll see all the member posts there. Look for the link to the notes and the currently monthly password. Feel free to shoot me an email if you are having any issues!

[@Plantopotomus]

They give me this when I have seizures. I never have an option 🙄

[@brandonbock4763]

QTc elongation?

[@christopherroberts8312]

You have the wrong medication on the intro!

[@ICUAdvantage]

Ahhh haha omg. Good catch. I think I can edit on YT and remove the first 2 seconds.... 🤦🏻‍♂️ Thanks for point that out. Not sure how it got past me.

[@jesstiss222]

@RaDonda Vaught you might wanna tune in for this one 👀

[@Airbnb_Portishead]

I don't think this should be called a 'medication'. My Dad was dying of cancer and 6 hours after he had his first 'dose' he was dead.

[@WeAreObject]

I think it was the cancer that killed him, not versed lol

[@jadenkaiser8266]

​@@WeAreObjectlol that person stupid when I've been SE took 12 mg and still didn't stop

[@dastardlydelinquent]

@@WeAreObjectis “lol” really appropriate in this situation?

[@manarrrrrrrrrr]

​@@dastardlydelinquentu r right

[@Morese56]

You know nothing about the dangers of this so called drug.