Midazolam: effects on amnesia and anxiety in children.

作者: Zeev N. Kain , Maura B. Hofstadter , Linda C. Mayes , Dawn M. Krivutza , Gerianne Alexander

DOI: 10.1097/00000542-200009000-00016

关键词:

摘要: Background The minimum time interval between administration of oral midazolam and separation children from their parents that ensures good anterograde amnesia has not been previously determined. This is particular importance in a busy operating room setting where schedule delays secondary to may be tolerated. Methods Children (n = 113) undergoing general anesthesia surgery completed preoperative baseline memory testing using validated series picture cards were randomly assigned one three groups or control group. Exactly, 5, 10, 20 min after receiving (0.5 mg/kg) 15 placebo, administered second test used pictures. Anxiety was assessed during induction with use anxiety measurement tool. Postoperatively, recall recognition for seen postintervention assessed. Results pictures presented patients drug (anterograde amnesia) showed significant group differences (P 0.0001), impaired the 10- 0.004) 20-min 0.0001). Similarly, 5- 0.0008), 0.0001) groups. Significant anxiolytic effects observed as early +/- 4 0.02). Conclusions Midazolam orally produces when given 10 before surgical procedure.

参考文章(19)
Charles D. Spielberger, Richard L. Gorsuch, R. E. Lushene, Manual for the State-Trait Anxiety Inventory Consulting Psychologist. ,(1970)
M.R. Polster, R.A. Mccarthy, G. Osullivan, P.A. Gray, G.R. Park, Midazolam-induced amnesia: implications for the implicit/explicit memory distinction. Brain and Cognition. ,vol. 22, pp. 244- 265 ,(1993) , 10.1006/BRCG.1993.1037
C Crevoisier, WH Ziegler, M Eckert, P Heizmann, Relationship between plasma concentration and effect of midazolam after oral and intravenous administration. British Journal of Clinical Pharmacology. ,vol. 16, ,(1983) , 10.1111/J.1365-2125.1983.TB02271.X
Zeev N. Kain, Linda C. Mayes, Shu-Ming Wang, Maura B. Hofstadter, Postoperative behavioral outcomes in children: effects of sedative premedication. Anesthesiology. ,vol. 90, pp. 758- 765 ,(1999) , 10.1097/00000542-199903000-00018
Helen W. Karl, James L. Rosenberger, Marilyn G. Larach, Joan M. Ruffle, Transmucosal Administration of Midazolam for Premedication of Pediatric Patients: Comparison of the Nasal and Sublingual Routes Anesthesiology. ,vol. 78, pp. 885- 891 ,(1993) , 10.1097/00000542-199305000-00013
Bernard J. Berger, Jocelyn McClain, Christian Beaton, Rebecca S. Twersky, John Hartung, Midazolam Enhances Anterograde but not Retrograde Amnesia in Pediatric Patients Anesthesiology. ,vol. 78, pp. 51- 55 ,(1993) , 10.1097/00000542-199301000-00009
Zeev N. Kain, Preoperative Anxiety in Children Archives of Pediatrics & Adolescent Medicine. ,vol. 150, pp. 1238- 1245 ,(1996) , 10.1001/ARCHPEDI.1996.02170370016002