Intranasal Medications In Pediatrics

See Resources below for more references.

The following is from Reference (1):

Why you should consider intranasal drug administration as another option for delivering medications to patients:

Acute seizures, status epilepsy, heroin and narcotic overdose, insulin induced hypoglycemia, procedural sedation, and acute and chronic pain control are all complex medical problems requiring multiple approaches for effective management. Intranasal drug delivery is emerging as a low-tech, inexpensive and non-invasive first line method for managing selected patients with these and other medical problems. Nasal medication delivery takes a middle path between slow onset oral medications and invasive, highly skilled delivery of intravenous medications. Because the nasal mucosa is highly vascularized, delivery of a thin layer of medication across a broad surface area can result in rapid transmucosal absorption of the medication into the blood stream and cerebral spinal fluid. This results in therapeutic drug levels and effective treatment of seizures, pain, anxiety, hypoglycemia, opiate overdose, epistaxis (bloody noses), etc without the need to give a shot or a pill. Because intra-nasal medication delivery is effective using generic medications, it is quite inexpensive, an advantage in this era of increasingly expensive medical technology. This web site provides information in the form of medical research, expert testimonial opinion and protocol suggestions to health care providers and consumers regarding this emerging method of drug delivery.

The following is from Reference (2):

Intranasal medications — if understood and employed properly — are a great choice to avoid an IV or as a bridge until IV access is obtained.

Learn the strengths and limits of intranasal fentanyl, midazolam, ketamine, and dexmedetomidine.

 

Resources:

(1) Intranasal.net

(2) Intranasal Medications and You (Pain Management In Children) Updated on September 1, 2015 from The Pediatric Emergency Medicine Playbook:

Intranasal medications — if understood and employed properly — are a great choice to avoid an IV or as a bridge until IV access is obtained.

Learn the strengths and limits of intranasal fentanyl, midazolam, ketamine, and dexmedetomidine.

(3) When to Use Intranasal Medications in Children from ACEP Now
By Annalise Sorrentino, MD, FAAP, FACEP | on October 13, 2015

(4) Intranasal Analgesia from Pediatric EM Morsels
BY SEAN FOX · SEPTEMBER 5, 2014

(5) How to give your child midazolam 4:00 YouTube video

(6) Intranasal sedation for pediatric patients 47:45 YouTube Video

This entry was posted in Pain Management, Pediatric Emergency Medicine, Pediatrics. Bookmark the permalink.