Does thiopentone delay recovery in children premedicated with midazolam?

Patricia Morley-Forster, John D. McAllister, Hilde Vandenberghe, Jake J. Thiessen, Ann White, Michael Taylor, David C. Knoppert

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

This prospective, randomized trial of paediatric surgical outpatients, premedicated with oral midazolam, was designed to determine if an intravenous thiopentone induction of anaesthesia prolongs postoperative recovery compared to an inhalation induction with halothane. One hundred children, one to ten years of age, undergoing ENT surgical procedures of 30-60 min duration received midazolam 0.5 mg · kg-1 with atropine 0.03 mg · kg-1 and were randomized to either halothane (Group 1, n = 50) or a thiopentone induction (Group 2, n = 50) technique, followed by a standardized anaesthetic-protocol. Time to extubation was significantly greater in the thiopentone group (8.8±4 min vs 7.1±3 min, P<0.05). Patients receiving thiopentone were also more sedated than the halothane group on arrival in the PARR (3.9±1.5, 3.3±1.7, respectively P<0.05), but the differences disappeared after 30 min. Children premedicated with oral midazolam who receive an intravenous thiopentone induction have a slightly prolonged emergence from anesthesia compared to children induced with halothane.

Original languageEnglish
Pages (from-to)279-285
Number of pages7
JournalPaediatric Anaesthesia
Volume7
Issue number4
DOIs
StatePublished - Jan 1 1997

Keywords

  • Anaesthesia: outpatient
  • Inhalational
  • Intravenous, premedication
  • Midazolam

Fingerprint

Dive into the research topics of 'Does thiopentone delay recovery in children premedicated with midazolam?'. Together they form a unique fingerprint.

Cite this