Table 2. Benzodiazepines.
Drug | Advantages | Disadvantages |
---|---|---|
Benzodiazepines | Better ventilator synchrony Antianxiety Sedation Hypnosis Muscle relaxation Amnesia Anticonvulsant |
No pain relief Arterial hypotension Respiratory depression Constipation, nausea Urinary retention Myoclonus Seizures CNS depression Tolerance, dependence Alters bilirubin metabolism Propylene glycol and benzyl alcohol exposure |
Midazolam | Most studied benzodiazepine Quickly metabolized |
Short acting Benzyl alcohol exposure |
Lorazepam | Longer acting Better anticonvulsant |
More myoclonus reported Propylene glycol exposure |
Diazepam | Not recommended in the neonate |