Sedation for gastroscopy: a comparative study of midazolam and Diazemuls in patients with and without cirrhosis.

Abstract:

:A double-blind controlled study comparing the effects of intravenous Diazemuls (0.15 mg kg-1) with midazolam (0.07 mg kg-1) in patients with normal liver function and with cirrhosis and portal hypertension is described. The clinical effect of the two drugs was assessed by serial tests of psychomotor function before and at varying intervals after administration. Using this dosage regime, midazolam caused significantly greater impairment in psychomotor function in both cirrhotic and non cirrhotic subjects, and the time taken for recovery of normal function was also significantly prolonged. Patients with cirrhosis showed a significantly prolonged recovery time following administration of either benzodiazepine compared with the controls. Administration of midazolam in a lower dose might reduce the degree of sedation and shorten the recovery time, but this could also lead to a loss of some of the amnesic effect. Caution is recommended in the administration of benzodiazepines to patients with cirrhosis.

journal_name

Br J Clin Pharmacol

authors

Hamdy NA,Kennedy HJ,Nicholl J,Triger DR

doi

10.1111/j.1365-2125.1986.tb02952.x

subject

Has Abstract

pub_date

1986-12-01 00:00:00

pages

643-7

issue

6

eissn

0306-5251

issn

1365-2125

journal_volume

22

pub_type

临床试验,杂志文章,随机对照试验
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    pub_type: 临床试验,杂志文章,随机对照试验

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    pub_type: 临床试验,杂志文章

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    doi:10.1111/j.1365-2125.1985.tb05142.x

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    更新日期:1983-03-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1111/j.1365-2125.1995.tb05730.x

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    pub_type: 杂志文章

    doi:10.1111/j.1365-2125.1985.tb02664.x

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    更新日期:1985-04-01 00:00:00

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    journal_title:British journal of clinical pharmacology

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    pub_type: 临床试验,杂志文章

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