TY - JOUR
T1 - Does thiopentone delay recovery in children premedicated with midazolam?
AU - Morley-Forster, Patricia
AU - McAllister, John D.
AU - Vandenberghe, Hilde
AU - Thiessen, Jake J.
AU - White, Ann
AU - Taylor, Michael
AU - Knoppert, David C.
PY - 1997
Y1 - 1997
N2 - 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.
AB - 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.
KW - Anaesthesia: outpatient
KW - Inhalational
KW - Intravenous, premedication
KW - Midazolam
UR - http://www.scopus.com/inward/record.url?scp=0030741780&partnerID=8YFLogxK
U2 - 10.1046/j.1460-9592.1997.d01-94.x
DO - 10.1046/j.1460-9592.1997.d01-94.x
M3 - Article
C2 - 9243684
AN - SCOPUS:0030741780
SN - 1155-5645
VL - 7
SP - 279
EP - 285
JO - Paediatric Anaesthesia
JF - Paediatric Anaesthesia
IS - 4
ER -