PREMEDICATION WITH ORAL MIDAZOLAM IN CHILDREN - AN ASSESSMENT OF PSYCHOMOTOR FUNCTION, ANXIOLYSIS, SEDATION AND PHARMACOKINETICS

被引：9

作者：

JONES, RDM ^{[1
]}

VISRAM, AR ^{[1
]}

KORNBERG, JP ^{[1
]}

RWIN, MG ^{[1
]}

GUNAWARDENE, WMS ^{[1
]}

机构：

[1] DUCHESS KENT CHILDRENS HOSP,HONG KONG,HONG KONG

来源：

ANAESTHESIA AND INTENSIVE CARE | 1994年 / 22卷 / 05期

关键词：

ANESTHESIA; PEDIATRIC; PREMEDICATION; MIDAZOLAM; PSYCHOMOTOR ASSESSMENT;

D O I：

10.1177/0310057X9402200507

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We studied 30 children, aged 4 to 12 years, undergoing elective circumcision, premedicated with midazolam 0.5 mg.kg-1 and atropine 0.02 mg.kg-1 by mouth. A modified postbox test and the coding component of the Wechsler intelligence scale (WISC-R) was used to assess the preoperative effect of premedication on psychomotor function. Mood and sedation were also scored and related to serum midazolam concentrations. The children showed a significant decline in psychomotor performance 30 and 60 minutes after premedication when compared with their best unmedicated performance recorded the previous evening. This decline in psychomotor performance was only weakly associated with serum midazolam concentrations (r = 0.1). The postbox toy ratio is a suitable measurement of psychomotor performance in children because of its simplicity and ease of use in the clinical environment, although it may suffer the ''test-retest'' limitations of similar types of assessment. The sedative and anxiolytic effects of midazolam provide a quiet environment for a smooth induction of anaesthesia.

引用

页码：539 / 544

页数：6

共 28 条

[21] INTERRELATIONS AMONG CHILDREN, PARENTS, PREMEDICATION, AND ANESTHETISTS IN PEDIATRIC DAY STAY SURGERY [J].