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Clonic Movements Following Lorazepam Administration in Full-Term Infants
Arch Pediatr Adolesc Med. 1998;152:98-99.
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Lorazepam is a benzodiazepine that acts as a -aminobutyric acid (GABA)receptor agonist. Premature infants have been reported to experience seizurelike activity following the administration of lorazepam.1-4 We report 2 cases of full-term infants, each without evidence of neurologic disorder, who received lorazepam for sedation and subsequently exhibited a seizurelike activity that occurred shortly after administration and resolved within 1 hour.
Patient Reports
Patient 1
A 2940-g male product of a 40-week gestation that was complicated by thin meconium had Apgar scores of 8 at 1 minute and 9 at 5 minutes. The infant had a clinical illness that was consistent with severe transient tachypnea of the newborn. At 3 hours of age, the infant was intubated for progressive symptoms of transient tachypnea and was given lorazepam (Ativan), 0.1 mg/kg, intravenously for sedation. Within minutes of receiving the medication, the infant had nonsuppressible, clonic jerks of both legs and the right upper extremity. These occurred . . . [Full Text of this Article] Patient 2 Comment
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Pharmacological therapy for analgesia and sedation in the newborn.
Anand and Hall
Arch. Dis. Child. Fetal Neonatal Ed. 2006;91:F448-F453.
ABSTRACT
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