The goal of this study is to improve sedation of children undergoing laceration repair in the emergency department. Currently, children who require sedation for laceration repair most often receive short acting benzodiazepines (i.e.,midazolam) orally (by mouth). Studies on the effectiveness of oral midazolam for minor procedures cite a 50-75% success rate. Oral midazolam has variable effectiveness and onset of action, and due to first pass hepatic metabolism, oral midazolam has a bioavailability of only 27% in children (Blumer 1998). Given the low success rate of oral midazolam, administration via mucous membranes has also been attempted. When administered intranasally or buccally, midazolam has a much higher bioavailability (Walberg 1991) and more rapid onset of action. Unfortunately, when given by these routes in previous studies, it was dripped into the nose or placed under the tongue. This leads to either swallowing the liquid drug, or expelling it, leading again to suboptimal bioavailability. Moreover, intranasal midazolam is irritating to the nasal mucosa and has therefore not always been well tolerated. When given to cooperative adults, midazolam dripped onto mucosal surfaces can have a bioavailability of approximately 75% (Schwagmeier 1998).