Montero Jesus Vallejo, Nieto Esther Moreno, Vallejo Inmaculada Rubio, Montero Sergio Vallejo
From the *Department of Emergency Medicine, Hospital SAS Jerez de la Frontera, †Emergency Medical Service, SAS, Chiclana de la Frontera; and ‡Facultad de Farmacia, Sevilla, Spain.
Pediatr Emerg Care. 2015 Apr;31(4):269-71. doi: 10.1097/PEC.0000000000000403.
The case of a 2-month-old boy with previously diagnosed tetralogy of Fallot who was brought to the emergency department with a hypercyanotic spell is described. Because partly of the difficulty of intravenous placement, especially in an infant crying with marked hypernea and deeply cyanotic, intranasal midazolam was administered. Before 3 minutes of hypernea terminated increasing the oxygen saturation successfully and intravenous line was easily placed with the baby remaining in calm. Sedation is an important step in the management of patients with cyanotic spells. Intranasal midazolam offers an alternative use as an initial method of calming the child that was effective in a patient with a severe cyanotic spell because of tetralogy of Fallot in the emergency department.
本文描述了一名2个月大的男婴病例，该男婴之前被诊断为法洛四联症，因出现缺氧发作而被送往急诊科。由于静脉穿刺困难，尤其是在一个因呼吸急促和严重发绀而哭闹的婴儿身上，于是给予了鼻内咪达唑仑。在呼吸急促在3分钟内终止并成功提高血氧饱和度之前，静脉输液管很容易就插好了，此时婴儿保持安静。镇静是管理缺氧发作患者的重要一步。鼻内咪达唑仑作为使患儿镇静的初始方法提供了一种替代选择，在急诊科对一名因法洛四联症出现严重缺氧发作的患者有效。
