Literature DB >> 6691877

Comparison between midazolam and thiopentone-based balanced anaesthesia for day-case surgery.

M E Crawford, P Carl, R S Andersen, B O Mikkelsen.   

Abstract

In a randomized study of 100 women (ASA 1-2) undergoing termination of pregnancy as outpatients, the combination of midazolam-fentanyl-nitrous oxide was compared with thiopentone-fentanyl-nitrous oxide. The induction time (the time recorded until disappearance of the palpebral reflex) was significantly longer in the midazolam group (40 s) than in the thiopentone group (31 s). There were no significant differences in heart rate or arterial pressure between the two groups. Thirty minutes after the termination of surgery the degree of awareness, estimated by means of Glasgow Coma Scale, was lower in the midazolam group. After 60 and 180 min the scores were equal. During recovery more patients experienced side-effects in the thiopentone group than in the midazolam group, the difference being statistically significant 72 h after discharge when 66% and 34% of the patients complained of side-effects, respectively. Midazolam is as suitable as thiopentone for the induction of anaesthesia in day-case surgery.

Entities:  

Keywords:  Abortion, Induced; Age Factors; Anesthesia--administraction and dosage; Anesthesia--side effects; Body Weight; Comparative Studies; Data Analysis; Data Collection; Delivery Of Health Care; Evaluation; Family Planning; Fertility Control, Postconception; Health; Health Facilities; Outpatient Clinic; Pregnancy; Pregnancy, First Trimester; Reproduction; Research Methodology; Studies; Treatment

Mesh:

Substances:

Year:  1984        PMID: 6691877     DOI: 10.1093/bja/56.2.165

Source DB:  PubMed          Journal:  Br J Anaesth        ISSN: 0007-0912            Impact factor:   9.166


  8 in total

1.  Intravenous midazolam: a study of the degree of oxygen desaturation occurring during upper gastrointestinal endoscopy.

Authors:  G D Bell; P A Reeve; M Moshiri; A Morden; T Coady; P J Stapleton; R F Logan
Journal:  Br J Clin Pharmacol       Date:  1987-06       Impact factor: 4.335

Review 2.  Midazolam: review of a versatile agent for use in dentistry.

Authors:  J A Giovannitti
Journal:  Anesth Prog       Date:  1987 Sep-Oct

Review 3.  New intravenous anaesthetics and neuromuscular blocking drugs. A review of their properties and clinical use.

Authors:  C S Reilly; W S Nimmo
Journal:  Drugs       Date:  1987-07       Impact factor: 9.546

4.  Midazolam coinduction does not delay discharge after very brief propofol anaesthesia.

Authors:  T Elwood; S Huchcroft; C MacAdams
Journal:  Can J Anaesth       Date:  1995-02       Impact factor: 5.063

Review 5.  Midazolam. A review of its pharmacological properties and therapeutic use.

Authors:  J W Dundee; N J Halliday; K W Harper; R N Brogden
Journal:  Drugs       Date:  1984-12       Impact factor: 9.546

Review 6.  Anaesthetic interventions for prevention of awareness during surgery.

Authors:  Anthony G Messina; Michael Wang; Marshall J Ward; Chase C Wilker; Brett B Smith; Daniel P Vezina; Nathan Leon Pace
Journal:  Cochrane Database Syst Rev       Date:  2016-10-18

7.  Change of inspired oxygen concentration in low flow anesthesia.

Authors:  Jiwook Kim; Donghee Kang; Hochul Lee; Sungwon Ryu; Siejeong Ryu; Doosik Kim
Journal:  Anesth Pain Med (Seoul)       Date:  2020-10-30

8.  A Comparative Study of the Effect of Anesthesia Induction with the Use of Four Drug Combinations Including "Propofol," "Etomidate-Propofol," "Thiopental," and "Midazolam-Thiopental" on Hemodynamic Changes during the Insertion of Laryngeal Mask in Eye Surgery.

Authors:  Hamidreza Shetabi; Kamran Montazeri; Yalda Ghoodjani
Journal:  Adv Biomed Res       Date:  2022-02-28
  8 in total

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