Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
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J. Perianesth. Nurs. · Feb 1997
ReviewMidazolam as a pediatric premedicant in the ambulatory setting.
In the preoperative setting, the nurse is responsible for the comprehensive evaluation and preparation of the patient. Among these activities, the administration of various premedications to achieve a physiological (eg, raise gastric fluid pH) or psychological (eg, reduce apprehension) effect is commonplace. ⋯ Several studies have evaluated the variety of routes by which midazolam can effectively be administered to the pediatric patient. A review of midazolam as a premedication specific to the pediatric population in the ambulatory setting is presented.
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J. Perianesth. Nurs. · Feb 1997
ReviewUnexpected awareness and memory in the perianesthesia setting.
Unexpected awareness and memory with general anesthesia are phenomena that can occur in the intriguing interface between consciousness and unconsciousness. Studies suggest that, for some patients, cognitive processing remains active even during deep anesthesia; that is, an apparently unconscious patient still may be registering information. ⋯ Post-traumatic stress disorder as well as medical malpractice litigation may result from awareness or memory during anesthesia. Implications for the use of opioids, benzodiazepines, and muscle relaxants in the perianesthesia setting as well as nursing interventions addressing unexpected awareness or memory are discussed.