• Int J Oral Maxillofac Surg · Feb 1990

    Randomized Controlled Trial Clinical Trial

    Paradoxical reactions to rectal midazolam as premedication in children.

    • J A Roelofse, D H Stegmann, J Hartshorne, and J J Joubert.
    • Department of Anaesthesia, Faculty of Dentistry, University of Stellenbosch, Republic of South Africa.
    • Int J Oral Maxillofac Surg. 1990 Feb 1;19(1):2-6.

    AbstractEighty healthy children, between the ages of 2 and 7 years, who were to undergo oral surgical procedures under general anaesthesia, were allocated randomly to 4 groups. Three groups received rectal midazolam, and the other group a placebo (saline) as premedication 30 min prior to induction of anaesthesia. Group A children received midazolam 0.25 mg/kg, Group B 0.35 mg/kg and Group C 0.45 mg/kg. No statistically significant difference was found between the treatment groups as to the effect on systolic- (p = 0.6920) and diastolic (p = 0.8701) blood pressures, respiration (p = 0.0505) and pulse (p = 0.6192) rates at either pre- or post-sedation levels. However, the results indicate that levels of anxiolysis and sedation were significantly associated with midazolam dosage (p less than 0.0001).

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