Terada H, Shigeomi S, Mori N, Suzuki M
Department of Anesthesiology, Akita City Hospital.
Masui. 1994 Feb;43(2):201-6.
We compared effects of midazolam as intramuscular premedicant on hypnosis, sedation and antegrade amnesia when administered 15 (32 cases) and 30 (35 cases) min before induction of anesthesia. Hypnosis was obtained in 97 and 91%, and sedation in 97 and 100% of patients administered midazolam 15 and 30 min before induction, respectively. Antegrade amnesia was observed in 97 and 72% of patients administered midazolam 15 and 30 min before, respectively (statistically significant). If midazolam is administered 15 min before, the respiratory depression, one of its unacceptable side effects, may hardly occur because patient arrives operating room before its onset. We conclude that the appropriate time for administration of midazolam as intramuscular premedicant is 15 min, rather than 30 min, before the induction of anesthesia.
我们比较了咪达唑仑作为肌肉注射术前用药,在麻醉诱导前15分钟(32例)和30分钟(35例)给药时对催眠、镇静和顺行性遗忘的影响。分别在麻醉诱导前15分钟和30分钟给予咪达唑仑的患者中,97%和91%实现了催眠,97%和100%实现了镇静。分别在麻醉诱导前15分钟和30分钟给予咪达唑仑的患者中,顺行性遗忘发生率分别为97%和72%(具有统计学意义)。如果在麻醉诱导前15分钟给予咪达唑仑,其难以接受的副作用之一——呼吸抑制,可能几乎不会发生,因为患者在其起效前就已到达手术室。我们得出结论,咪达唑仑作为肌肉注射术前用药的合适给药时间是麻醉诱导前15分钟,而非30分钟。