Is midazolam superior to triclofos and hydroxyzine as premedicant in children?

Background: Search for an ideal premedicant drug for children is still on. A prospective, randomized trial was conducted to compare the efficacy of midazolam, triclofos and hydroxyzine as premedication in children undergoing lower abdominal surgeries. Materials and Methods: Sixty American Society o...

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Main Authors: Sujata Chaudhary, Reena Jindal, Gautam Girotra, Rashmi Salhotra, Rajesh Singh Rautela, Ashok Kumar Sethi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Journal of Anaesthesiology Clinical Pharmacology
Subjects:
Online Access:http://www.joacp.org/article.asp?issn=0970-9185;year=2014;volume=30;issue=1;spage=53;epage=58;aulast=Chaudhary
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author Sujata Chaudhary
Reena Jindal
Gautam Girotra
Rashmi Salhotra
Rajesh Singh Rautela
Ashok Kumar Sethi
author_facet Sujata Chaudhary
Reena Jindal
Gautam Girotra
Rashmi Salhotra
Rajesh Singh Rautela
Ashok Kumar Sethi
author_sort Sujata Chaudhary
collection DOAJ
description Background: Search for an ideal premedicant drug for children is still on. A prospective, randomized trial was conducted to compare the efficacy of midazolam, triclofos and hydroxyzine as premedication in children undergoing lower abdominal surgeries. Materials and Methods: Sixty American Society of Anesthesiologists I or II patients 2-8 years of age, scheduled for elective lower abdominal surgery were included. The patients were randomly divided into three groups M, T and H of 20 children each who received midazolam 0.5 mg/kg, triclofos 75 mg/kg and hydroxyzine 0.5 mg/kg respectively, orally 60 min before surgery. The acceptability of drugs, level of sedation, anxiety during separation and on mask application was assessed. Results: The acceptability of midazolam and hydroxyzine was better than triclofos. Hydroxyzine was found to have lesser sedative effect as compared to both midazolam and triclofos. No major adverse effects were observed. Conclusion: Midazolam was found to be a better premedicant in terms of sedation, anxiolysis and safety.
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spelling doaj.art-54851f4fd94b4d1ab3c05d5b364e018c2022-12-22T02:17:26ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852014-01-01301535810.4103/0970-9185.125704Is midazolam superior to triclofos and hydroxyzine as premedicant in children?Sujata ChaudharyReena JindalGautam GirotraRashmi SalhotraRajesh Singh RautelaAshok Kumar SethiBackground: Search for an ideal premedicant drug for children is still on. A prospective, randomized trial was conducted to compare the efficacy of midazolam, triclofos and hydroxyzine as premedication in children undergoing lower abdominal surgeries. Materials and Methods: Sixty American Society of Anesthesiologists I or II patients 2-8 years of age, scheduled for elective lower abdominal surgery were included. The patients were randomly divided into three groups M, T and H of 20 children each who received midazolam 0.5 mg/kg, triclofos 75 mg/kg and hydroxyzine 0.5 mg/kg respectively, orally 60 min before surgery. The acceptability of drugs, level of sedation, anxiety during separation and on mask application was assessed. Results: The acceptability of midazolam and hydroxyzine was better than triclofos. Hydroxyzine was found to have lesser sedative effect as compared to both midazolam and triclofos. No major adverse effects were observed. Conclusion: Midazolam was found to be a better premedicant in terms of sedation, anxiolysis and safety.http://www.joacp.org/article.asp?issn=0970-9185;year=2014;volume=30;issue=1;spage=53;epage=58;aulast=ChaudharyChildrenhydroxyzinemidazolampremedicationtriclofos
spellingShingle Sujata Chaudhary
Reena Jindal
Gautam Girotra
Rashmi Salhotra
Rajesh Singh Rautela
Ashok Kumar Sethi
Is midazolam superior to triclofos and hydroxyzine as premedicant in children?
Journal of Anaesthesiology Clinical Pharmacology
Children
hydroxyzine
midazolam
premedication
triclofos
title Is midazolam superior to triclofos and hydroxyzine as premedicant in children?
title_full Is midazolam superior to triclofos and hydroxyzine as premedicant in children?
title_fullStr Is midazolam superior to triclofos and hydroxyzine as premedicant in children?
title_full_unstemmed Is midazolam superior to triclofos and hydroxyzine as premedicant in children?
title_short Is midazolam superior to triclofos and hydroxyzine as premedicant in children?
title_sort is midazolam superior to triclofos and hydroxyzine as premedicant in children
topic Children
hydroxyzine
midazolam
premedication
triclofos
url http://www.joacp.org/article.asp?issn=0970-9185;year=2014;volume=30;issue=1;spage=53;epage=58;aulast=Chaudhary
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