Exceptional Experiences at Community Health Network

David Herd, M.D., in an article published in Advances in Urology in 2008, discusses the distress that children and parents experience when undergoing a VCUG procedure.  In his analysis of the literature including seven comparative studies including 2 randomized controlled trials, he found that oral Midazolam(Versed) given at 0.5-0.6 mg/kg is effective in providing anxiolysis and amnesia with no apparent effect on voiding dynamics.  It is unclear whether deeper sedating agents may interfere with voiding dynamics.  Midazolam has no analgesic properties.

Parental perceptions of the procedure are such that most parents would request some medication if it were effective, safe, and available.  We do now provide the option of sedation for pediatric VCUG at Community North Hospital.  Those individuals who are scheduling patients for VCUG will need to specify the requirement for sedation, as many children do not require sedation for VCUG.

I encourage you to evaluate Dr. Herd’s article by following the link below.

Anxiety in Children Undergoing VCUG: Sedation or No Sedation?