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IN midazolam – imaging — RACP Paediatrics MCQ

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ModerateEmergencyIN midazolam – imagingRACP Paediatrics

A 3-year-old requires sedation for a CT scan. The child has no IV access and is otherwise well. A non-painful procedure requiring immobility for approximately 15 minutes is planned. What is the most appropriate sedation agent?

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Correct answer: D — Midazolam intranasal

Intranasal midazolam (0.3-0.5 mg/kg) is a convenient non-invasive sedation option for brief non-painful procedures in young children. It provides anxiolysis and light sedation within 10-15 minutes. For CT scans requiring deeper sedation, oral chloral hydrate or IV agents may be needed. Midazolam alone may be insufficient for longer or deeper sedation requirements.

Reference: RCH Melbourne – 2023 – Procedural Sedation CPG; RACP Paediatric Curriculum – Emergency