Know Your Drugs: Midazolam (with Drs. Jake Stucki and Grant Stucki)

Midazolam is a familiar drug in anesthesia, but knowing when to use it — and when not to — requires more than understanding its sedative effects. In this installment of our series on anesthesia, Dr. Jake Stucki joins us to review Midazolam. Starting with what it is and how it works, we explore its onset, duration, and effects, how it is metabolized, and what it does and does not help with. We also cover indications, patient selection, administration and dosing, and why the anticipated duration of a procedure matters. From desired effects to potential adverse reactions, we discuss precautions, emergency measures, and how clinicians can use patient monitoring to make adjustments when managing adverse effects. Finally, we examine cases where Midazolam may not be the most appropriate intervention and what alternatives or considerations may come into play. **Key Points From This Episode:** - Basics of Midazolam: onset, duration, and effects. - What it does and doesn’t help with. - Its mechanism of action. - How it is metabolized. - Indications and which patients do and do not have this drug administered to them. - Administration and dosing. - Considering the duration of the procedure. - Desired and undesired effects of Midazolam. - Precautions and emergency measures. - Using your monitors to make adjustments to manage adverse effects. - More cases where Midazolam may not be the most appropriate intervention. **Links Mentioned in Today’s Episode:** Dr. Jake Stucki — https://www.linkedin.com/in/jake-stucki-ab19a593/ Case Western Reserve University — https://case.edu/  Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/  Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/  Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/ Dr. Grant Stucki Email — [grantstucki@gmail.com](mailto:grantstucki@gmail.com) Dr. Grant Stucki Phone — 720-441-6059