Recovery from fixed-dose midazolam-induced anaesthesia and antagonism with flumazenil for outpatient arthroscopy.

Abstract:

:This study evaluated recovery after a fixed dose of midazolam as induction agent and the influence of flumazenil on recovery parameters in patients undergoing day-case surgery (arthroscopy of the knee). In 40 unpremedicated patients, anaesthesia was induced with midazolam 0.2 mg/kg, vecuronium bromide 0.1 mg/kg intravenously and 3 vol.% isoflurane in oxygen prior to intubation. Anaesthesia was maintained with nitrous oxide 66% in oxygen and 0.9 vol.% isoflurane. Ten minutes after the end of anaesthesia 20 patients received 0.2 mg flumazenil intravenously, followed by increments of 0.1 mg at 60 s intervals until eye opening. Recovery was assessed by the time to eye-opening, to answering five set questions correctly, and to recovering ocular balance (Maddox Wing test), and by comparing pre- and postoperative performance in a pencil and paper test (the p-deletion test). With the exception of ocular balance, all parameters showed a quicker improvement without side-effects in the flumazenil group. After 4 h all patients were fit for discharge. One month after the procedure, all patients were satisfied with the anaesthesia. Full recovery took on average 1.5 days (range between 0 h-10 days). Whilst the technique employing a fixed dose of midazolam as induction agent gives satisfactory intraoperative anaesthesia for day-case arthroscopy, further improvement can be made with the use of flumazenil which hastens recovery.

authors

Zuurmond WW,van Leeuwen L,Helmers JH

doi

10.1111/j.1399-6576.1989.tb02881.x

subject

Has Abstract

pub_date

1989-02-01 00:00:00

pages

160-3

issue

2

eissn

0001-5172

issn

1399-6576

journal_volume

33

pub_type

临床试验,杂志文章,随机对照试验
  • Effect of hemodiafiltration and sepsis on chemotaxis of granulocytes and the release of IL-8 and IL-10.

    abstract:BACKGROUND:Extracorporeal circulation, such as cardiopulmonary bypass and hemodialysis, has been associated with an activation of the immune system. Continuous veno venous hemodiafiltration (CVVHD) is used in critically ill septic patients. During CVVHD, cytokines are excreted in ultrafiltrate. When the membranes, used...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2002.460203.x

    authors: Toft P,Brix-Christensen V,Baech J,Krog J,Jørgensen HS,Tønnesen E,Petersen TK,Dagnaes-Hansen F

    更新日期:2002-02-01 00:00:00

  • Reduced right ventricular diameter during cardiac arrest caused by tension pneumothorax - a porcine ultrasound study.

    abstract:INTRODUCTION:Advanced life support (ALS) guidelines recommend ultrasound to identify reversible causes of cardiac arrest. Right ventricular (RV) dilatation during cardiac arrest is commonly interpreted as a sign of pulmonary embolism. The RV is thus a focus of clinical ultrasound examination. Importantly, in animal stu...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.12911

    authors: Caap P,Aagaard R,Sloth E,Løfgren B,Granfeldt A

    更新日期:2017-08-01 00:00:00

  • Classification of a traumatic brain injury: the Glasgow Coma scale is not enough.

    abstract:BACKGROUND:Classifying the severity of a traumatic brain injury (TBI) solely by means of the Glasgow Coma scale (GCS) is under scrutiny, because it overlooks other important clinical signs. Clinicians treating patients with acute TBI are well placed to suggest which variables, in addition to the GCS, should concur in a...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2010.02234.x

    authors: Chieregato A,Martino C,Pransani V,Nori G,Russo E,Noto A,Simini B

    更新日期:2010-07-01 00:00:00

  • Preoperative oral granisetron prevents postoperative nausea and vomiting.

    abstract:BACKGROUND:Postoperative nausea and vomiting (PONV) is a commonly observed adverse effect of anaesthesia. This study was designed to evaluate the efficacy of granisetron administered orally for preventing PONV in female patients undergoing major gynaecological surgery. METHODS:In a prospective, randomized, placebo-con...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验,收录出版

    doi:10.1111/j.1399-6576.1998.tb05297.x

    authors: Fujii Y,Tanaka H,Toyooka H

    更新日期:1998-07-01 00:00:00

  • Bowel function after bowel surgery: morphine with ketamine or placebo; a randomized controlled trial pilot study.

    abstract:BACKGROUND:Morphine decreases gut peristalsis, and ketamine decreases morphine use after surgery, and does not slow peristalsis. Thus, the combination should result in faster return of bowel function after surgery than morphine alone. METHOD:A double-blind randomized controlled trial of saline vs. ketamine with intrav...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2007.01436.x

    authors: McKay WP,Donais P

    更新日期:2007-10-01 00:00:00

  • Propofol reduces emesis after sufentanil supplemented anaesthesia in paediatric squint surgery.

    abstract:BACKGROUND:Squint surgery is associated with a high incidence of postoperative emesis. The purpose of this prospective study was to examine the influence of propofol and isoflurane anaesthesia on the incidence of postoperative nausea and vomiting in children. METHODS:Ninety children aged 3-10 years were randomly alloc...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1996.tb04519.x

    authors: Standl T,Wilhelm S,von Knobelsdorff G,Schulte am Esch J

    更新日期:1996-07-01 00:00:00

  • Direct myocardial depressant effect of naloxone: mechanical and electrophysiological actions in vitro.

    abstract:BACKGROUND:Naloxone, an opioid antagonist, has a cardiovascular pressor effect and has been used in various types of shock states. The aim was to determine the non-opioid effect on direct cardiac muscle contractility and explore the mechanism using guinea pig right ventricular papillary muscles. METHODS:With instituti...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2004.00267.x

    authors: Kim KJ,Chung NS,Park WK

    更新日期:2004-01-01 00:00:00

  • Can 4-aminopyridine be used to reverse anaesthesia and muscle relaxation?

    abstract::4-aminopyridine has earlier been shown to antagonize neuromuscular block and to release transmitters in CNS. In a study in man the drug was given intravenously at the end of anaesthesia in order to counteract muscle relaxation and possibly also anaesthesia. The effects were followed by clinical observations, intraarte...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1983.tb01911.x

    authors: Carlsson C,Rosén I,Nilsson E

    更新日期:1983-02-01 00:00:00

  • Pharmacokinetics of dexmedetomidine in Chinese post-surgical intensive care unit patients.

    abstract:BACKGROUND:Dexmedetomidine is a rather new drug in China. We sought to describe the pharmacokinetics of dexmedetomidine in patients requiring post-operative sedation and ventilation in our surgical intensive care unit. METHODS:Twenty-two patients received post-operative infusions of dexmedetomidine at 6 μg/kg/h for 10...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2010.02392.x

    authors: Lin L,Guo X,Zhang MZ,Qu CJ,Sun Y,Bai J

    更新日期:2011-03-01 00:00:00

  • Epinephrine as an adjuvant to amino-amide local anesthetics does not prolong their duration of action in infraorbital nerve block in the rat.

    abstract::The effects of epinephrine as an adjuvant to local anesthetics were studied in the rat infraorbital nerve block (IONB) model, using solutions of 0.5% prilocaine, 0.5% mepivacaine, 0.125% bupivacaine or 0.125% ropivacaine in 50 mmol/l tris-hydroxymethylaminomethane (THAM) tested both without and with epinephrine (EPI) ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1992.tb03486.x

    authors: Renck H,Hassan HG

    更新日期:1992-07-01 00:00:00

  • Onset and offset of intrathecal morphine versus nalbuphine for postoperative pain relief after total hip replacement.

    abstract:BACKGROUND:We designed this study to compare the postoperative analgesic effects of intrathecal morphine and nalbuphine, the endpoints being onset and offset of action. METHODS:Geriatric patients scheduled for elective total hip replacement under continuous spinal anaesthesia were randomized to two double-blinded grou...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1034/j.1399-6576.2000.440808.x

    authors: Fournier R,Van Gessel E,Macksay M,Gamulin Z

    更新日期:2000-09-01 00:00:00

  • The electrocardiographic and hemodynamic effect of metohexital and propofol with and without esmolol.

    abstract:BACKGROUND:Metohexital and propofol are short-acting induction agents, which have a tendency to prolong the QTc interval of the ECG. We studied whether this increase could be prevented by combining a beta-blocking agent, esmolol, with these drugs. Simultaneously, we studied the hemodynamic effects of these combinations...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2006.00911.x

    authors: Korpinen R,Klemola UM,Simola M,Toivonen H

    更新日期:2006-02-01 00:00:00

  • Convulsions and respiratory arrest in association with desmopressin administration for the treatment of a bleeding tonsil in a child with borderline haemophilia.

    abstract::Desmopressin (DDAVP) may be used to augment the action of factor VIII in mild haemophilia. Its use has been associated with serious adverse effects. We report a case of a three-year-old child with a family history of haemophilia who suffered complications due to severe acute hyponatraemia following the administration ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.1999.430817.x

    authors: Francis JD,Leary T,Niblett DJ

    更新日期:1999-09-01 00:00:00

  • Epidural analgesia in patients with traumatic rib fractures: a systematic review of randomised controlled trials.

    abstract:BACKGROUND:Traumatic rib fractures are a common condition associated with considerable morbidity and mortality. Observational studies have suggested improved outcome in patients receiving continuous epidural analgesia (CEA). The aim of the present systematic review of randomised controlled trials (RCTs) was to assess t...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1111/aas.12475

    authors: Duch P,Møller MH

    更新日期:2015-07-01 00:00:00

  • Amelioration of respiratory and circulatory changes in established endotoxic shock by ketoprofen.

    abstract::In an intensive-care setting we studied the effects of ketoprofen, a dual inhibitor of cyclooxygenase and lipoxygenase, on circulatory and respiratory changes during established endotoxic shock in sheep. Two groups (n = 7 in each) were exposed to E. coli endotoxin, which caused a sharp increase in pulmonary artery pre...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1994.tb03833.x

    authors: Sigurdsson GH,Youssef H

    更新日期:1994-01-01 00:00:00

  • Effects of halothane, isoflurane, and sevoflurane on lipid peroxidation following experimental closed head trauma in rats.

    abstract:BACKGROUND:In a rat closed head trauma model we examined both the time course of lipid peroxidation and the effects of halothane, isoflurane, and sevoflurane on it by analysis of malondialdehyde (MDA) formation. METHODS:Animals were divided randomly into five groups: sham-operated (SO), n=18; control-closed head traum...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2008.01635.x

    authors: Yurdakoc A,Gunday I,Memiş D

    更新日期:2008-05-01 00:00:00

  • Atracurium and vecuronium block nicotine-induced carotid body chemoreceptor responses.

    abstract:BACKGROUND:Vecuronium depresses carotid body chemosensitivity during hypoxia. We hypothesized that this is caused by inhibition of cholinergic transmission of the carotid body. METHODS:The carotid body with its sinus nerve was removed en bloc from thiopentone-anaesthetized adult male New Zealand rabbits and perfused i...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2002.460503.x

    authors: Jonsson M,Kim C,Yamamoto Y,Runold M,Lindahl SG,Eriksson LI

    更新日期:2002-05-01 00:00:00

  • Risk factors of acute kidney injury in children after cardiac surgery.

    abstract:BACKGROUND:The objective of this retrospective study was to determine the risk factors for acute kidney injury (AKI), including albumin, in children who underwent cardiac surgery. In addition, we evaluated the association between preoperative serum albumin level and postoperative AKI in these patients. METHODS:This re...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.13210

    authors: Lee JH,Jung JY,Park SW,Song IK,Kim EH,Kim HS,Kim JT

    更新日期:2018-11-01 00:00:00

  • Epidural ropivacaine and sufentanil and the perioperative stress response after a radical retropubic prostatectomy.

    abstract:BACKGROUND:The effects of an epidural opioid and a local anesthetic on the perioperative stress responses have not been fully investigated in elderly patients undergoing cancer surgery. We hypothesized that the stress response after a radical retropubic prostatectomy (RRP) would be attenuated by epidural ropivacaine an...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2010.02360.x

    authors: Hong JY,Yang SC,Yi J,Kil HK

    更新日期:2011-03-01 00:00:00

  • Minimal alveolar concentration of sevoflurane for maintaining bispectral index below 50 in morbidly obese patients.

    abstract:BACKGROUND:Morbid obesity is associated with important differences in pharmacokinetics and pharmacodynamics. The aim of this study was to determine minimum alveolar concentration of sevoflurane for maintaining bispectral index (BIS) below 50 (MACBIS50 ) in morbidly obese patients undergoing bariatric surgery using the ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.12038

    authors: Zeidan A,Mazoit JX

    更新日期:2013-04-01 00:00:00

  • A double-blind trial of the analgesic properties of physostigmine in postoperative patients.

    abstract::A double-blind clinical trial of the analgesic and antisedative effects of physostigmine was carried out on surgical patients (n = 60) during the first hours postoperatively. Pethidine and placebo were included for comparison in the double-blind study. The degree of pain and sedation was estimated when the patient dem...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1986.tb02414.x

    authors: Petersson J,Gordh TE,Hartvig P,Wiklund L

    更新日期:1986-05-01 00:00:00

  • Sublingual premedication with brotizolam.

    abstract::This randomized, double-blind and double-dummy study was carried out in order to compare the perioperative sedation after premedication with either brotizolam 0.25-0.50 mg sublingually or diazepam 5-10 mg orally. Sixty-two patients aged 18-60 years scheduled for minor gynaecological surgery in general anaesthesia were...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1992.tb03560.x

    authors: Laub M,Espersen K,Ejlersen E,Krintel JJ

    更新日期:1992-11-01 00:00:00

  • Prostaglandin E1 at clinically relevant concentrations inhibits aggregation of platelets under synergic interaction with endothelial cells.

    abstract:BACKGROUND:The inhibitory effect of prostaglandin E1 (PGE1) on platelet aggregation is considered an important characteristic of this agent. However, the concentration of PGE1 to inhibit aggregation in vitro is higher than those of clinical use (1 ng/ml). To clarify whether PGE1 at clinically relevant concentrations in...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2002.460810.x

    authors: Koga T,Az-ma T,Yuge O

    更新日期:2002-09-01 00:00:00

  • Ethical issues in intensive care--a survey among Scandinavian intensivists.

    abstract:BACKGROUND:The general principles of medical ethics are universally accepted. In practice, however, there is variation on how these principles are interpreted by people with different cultural backgrounds. The aim of this study was to document the views of Scandinavian intensive care physicians on intensive care unit (...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2005.00799.x

    authors: Tallgren M,Klepstad P,Petersson J,Skram U,Hynninen M

    更新日期:2005-09-01 00:00:00

  • The cytokine response in a patient undergoing surgery for an ACTH-producing tumor.

    abstract::The administration of glucocorticoids has been used to inhibit the cytokine production in patients undergoing cardiac surgery during cardiopulmonary bypass. In this case report the cytokine response in a 43-year-old man undergoing operation for an ACTH-producing lung tumor is presented. There had been clinical symptom...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1997.tb04686.x

    authors: Höhndorf K,Toft P,Tønnesen E

    更新日期:1997-02-01 00:00:00

  • Can propofol precipitate pancreatitis in patients with Cushing's syndrome?

    abstract::We encountered two cases of acute pancreatitis in patients with Cushing's disease following transnasal transsphenoidal hypophysectomy. In both cases propofol was used in bolus doses, and is thought to be the probable factor for its development. Since elevated cortisol levels in Cushing's disease poses a threat for pan...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2005.00751.x

    authors: Priya G,Bhagat H,Pandia MP,Chaturvedi A,Seth A,Goswami R

    更新日期:2005-10-01 00:00:00

  • Improved long-lasting postoperative analgesia, recovery function and patient satisfaction after inguinal hernia repair with inguinal field block compared with general anesthesia.

    abstract:BACKGROUND:Inguinal hernia repair is a common surgical procedure, and different types of anesthetic techniques are in use. We wanted to test if preoperative inguinal field block (IFB) with ropivacaine would provide benefits in the postoperative period compared with general anesthesia and wound infiltration. METHODS:Si...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1034/j.1399-6576.2002.460607.x

    authors: Aasbø V,Thuen A,Raeder J

    更新日期:2002-07-01 00:00:00

  • Sonoanatomy of the vasculature at the supraclavicular and interscalene regions relevant for brachial plexus block.

    abstract:BACKGROUND:Our aim in this observational study was to utilize ultrasound, as well as anatomic dissection, to document the frequency with which branches of the subclavian vessels are found in close association with the brachial plexus at the locations of supraclavicular and interscalene brachial plexus block. METHODS:U...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2011.02528.x

    authors: Muhly WT,Orebaugh SL

    更新日期:2011-11-01 00:00:00

  • Effects of prolonged anesthesia with enflurane or halothane on renal function in dogs.

    abstract::Elevated serum inorganic fluoride levels (60-300 mumol/l), maintained over 6 h, influenced renal function in beagle dogs. Changes in water reabsorption were seen with an increased urine flow and free water clearance and decreased urinary concentration capacity. Possible nephrotoxicity as an effect of inorganic fluorid...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1981.tb01642.x

    authors: Wickström I,Stefansson T

    更新日期:1981-06-01 00:00:00

  • A comparison of sugammadex and neostigmine for reversal of rocuronium-induced neuromuscular blockade in children.

    abstract:BACKGROUND:Sugammadex is designed to be a reversal agent for steroidal muscle relaxants. The current trial was aimed to compare between sugammadex and neostigmine concerning the recovery time from neuromuscular blockade. We hypothesised that sugammadex might have shorter recovery time than neostigmine. METHODS:Sixty p...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/aas.12868

    authors: Ammar AS,Mahmoud KM,Kasemy ZA

    更新日期:2017-04-01 00:00:00