Midazolam co-induction and laryngeal mask insertion

被引:21
作者
Driver, IK
Wiltshire, S
Mills, P
Lillywhite, N
HowardGriffin, R
机构
关键词
anaesthetics; intravenous; propofol; analgesics; alfentanil; hypnotics; benzodiazepines; midazolam; equipment; airway; laryngeal mask;
D O I
10.1111/j.1365-2044.1996.tb06208.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We have studied the effect of alfentanil and midazolam + alfentanil on the conditions for laryngeal mask airway insertion in patients receiving propofol for induction of anaesthesia. Ninety unpremedicated, ASA 1 or 2 adult patients were randomly allocated to one of three groups: group P received propofol only (2.5 mg.kg(-1)); group PA received alfentanil (10 mu g.kg(-1)) followed by propofol (1.25 mg.kg(-1)); group PMA received midazolam (0.04 mg.kg(-1)) and alfentanil (10 mu g.kg(-1)) followed by propofol (1.25 mg.kg(-1)). Further boluses of propofol (0.25 mg.kg(-1) every 15 s) were given if the initial dose was inadequate for induction of anaesthesia. Patients int he midazolam + alfentanil group required less propofol (p<0.001), had better mouth opening (p<0.001) and fewer undesired responses to laryngeal mask airway insertion (p<0.001) than the other two groups.
引用
收藏
页码:782 / 784
页数:3
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