Efficacy of propofol compared to midazolam as an intravenous premedication agent.

Abstract:

BACKGROUND:It is common practice to administer a premedication to patients about to undergo anesthesia. This study compared the effects of a small intravenous bolus of propofol versus midazolam administered as a premedication. METHODS:In this prospective, randomized, double-blind, placebo-controlled study, 60 healthy adult subjects scheduled for general anesthesia were given midazolam (0.04 mg/kg), propofol (0.4 mg/kg) or saline intravenously in the anesthesia waiting room. Before administration and three times at 2.5 min intervals subsequently, blood pressure, heart rate, oxygen saturation and scores for anxiety and dizziness were recorded. Recall of words and images shown to the patient 5 min after drug administration was tested 10-30 min after recovery from anesthesia. RESULTS:Both propofol and midazolam helped relieve anxiety and lowered blood pressure (P<0.001, compared to baseline), but both were associated with greater dizziness scores (P<0.001, compared to placebo). Compared to placebo and propofol, midazolam was associated with more frequent respiratory depression (P<0.05) and significant impairment of anterograde explicit memory (P<0.05). CONCLUSION:Propofol may be an economical and safe alternative to midazolam for i.v. premedication.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

Quario Rondo L,Thompson C

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

173-9

issue

5

eissn

0375-9393

issn

1827-1596

journal_volume

74

pub_type

杂志文章,随机对照试验
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    pub_type: 杂志文章,评审

    doi:

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    更新日期:2004-05-01 00:00:00

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    authors: Chelly JE,Greger J,Al Samsam T,Gebhard R,Masson M,Matuszczak M,Sciard D

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  • [A new approach to the brachial plexus].

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  • [The laryngeal mask in pediatric anesthesia].

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    doi:

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  • Histopathological observations in the brains of children exposed to inhalational anesthetic agents: a retrospective autopsy-based study.

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    doi:

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  • [Changes in the parameters of humoral immunity due to surgical operations or trauma].

    abstract::Humoral immunity (immunoglobulins and C3) as well as nutritional conditions (serum albumin, transferrin) have been investigated in 23 patients in the acute phase after surgery and/or trauma. Immunoglobulin deficiency, well correlated with the severity of trauma, was observed in the most critically ill patients in the ...

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    doi:

    authors: Guarducci AM,Langer M,Solca M,Radrizzani D,Carnevale-Maffè A

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    doi:

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