My Dad is Not Waking up After Midazolam / Versed Coma, Help! Quick Tip for Families in ICU!

https://intensivecarehotline.com/blog/my-dad-is-not-waking-up-after-midazolam-versed-coma-help-quick-tip-for-families-in-icu/Show more

My Dad is Not Waking up After Midazolam / Versed Coma, Help! Quick Tip for Families in ICU!

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Hi, it’s Patrik Hutzel from intensivecarehotline.com with another quick tip for families in intensive care.

So, a couple of days ago I made a video about, “My mom is not waking up after propofol in ICU, Help!”. And today, I’ve got a question from another reader who says, “My dad is not waking up after midazolam or Versed in ICU, help!”.

So, as I explained a couple of days ago in the other video, propofol is a short-term acting sedative, and midazolam is a long-term acting sedative. Midazolam is also known as Versed. So, when midazolam is being used to patients, depending on how much midazolam they had and for how long they’ve been on midazolam or Versed, they may not wake up quickly. So, sometimes midazolam may be off for a few days and patients may not wake up.

Now this also depends on whether patients had opiates such as morphine or fentanyl. And again, it depends how much they’ve had it. Sometimes patients might be in an induced coma, that’s just an example, after a traumatic brain injury, especially when patients have potential seizures or high intracranial pressures also known as ICP.

They may need lots of midazolam or Versed and lots of morphine or fentanyl. And then hopefully after they get over the high ICPs and the traumatic brain injury slowly and they’re woken up. They may not wake up for a number of days because again, midazolam or Versed is long-acting, and the half-life of midazolam is so much longer compared to propofol.

Continuation:
https://intensivecarehotline.com/blog/my-dad-is-not-waking-up-after-midazolam-versed-coma-help-quick-tip-for-families-in-icu/