With midazolam and alfentanil iv the synergistic effects knock out the ability to sense CO2 levels in the blood so all voluntary respiration stops its used in Intensive Care for people on mechanical ventilators to stop them fighting the machine but is adminsitered in the NHS on side wards mainly CO2 just builds up in the blood but the midazolam and morphine levels are so high they do nt twitch and upset the bitches of nurses who know exactly what they are doing when they inject this stuff and do nt really give a toss one way or the other