COMPARISON OF ORAL MIDAZOLAM WITH ORAL PROMETHAZINE ON DECREASING ANXIETY OF CHILDREN WHEN SEPARATED FROM THEIR PARENTS BEFORE ANESTHESIA

BACKGROUND AND OBJECTIVE: Children feel anxious and fear when they are separated from their parents before going to operating room that it may cause some difficulties and behavior changes. The purpose of this study was to compare the effect of oral midazolam and promethazine on decreasing children a...

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Autores principales:	F Naziri, E Alijanpour, SM Rabei, SH Seifi, M Mir, M .Hosseinpour, A Bijani
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2007
Materias:	anxiety midazolam promethazine Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/dadffc7f4e8349d28bde17abe368aff0
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spelling	oai:doaj.org-article:dadffc7f4e8349d28bde17abe368aff02021-11-10T09:10:17ZCOMPARISON OF ORAL MIDAZOLAM WITH ORAL PROMETHAZINE ON DECREASING ANXIETY OF CHILDREN WHEN SEPARATED FROM THEIR PARENTS BEFORE ANESTHESIA1561-41072251-7170https://doaj.org/article/dadffc7f4e8349d28bde17abe368aff02007-10-01T00:00:00Zhttp://jbums.org/article-1-2519-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Children feel anxious and fear when they are separated from their parents before going to operating room that it may cause some difficulties and behavior changes. The purpose of this study was to compare the effect of oral midazolam and promethazine on decreasing children anxiety when they are separated from their parents before anesthesia.METHODS: This clinical study was performed on 56 children 1-5 years old with ASA class I & II who were candidate for elective surgery. They were divided into two randomized equal groups. First group received midazolam 0.3mg/kg and the second one received promethazine 1mg/kg (both orally), 20-30 minutes before entrance to the operating room. The way the child is separated from his/her parents, hemodynamic changes (heart rate) during entrance to the operating room, before and after induction of anesthesia, nausea and vomiting after surgery, and also the duration of recovery time were evaluated and recorded. FINDINGS: The mean age in midazolam and promethazine group was 36±18.25 and 36±15.86 months, respectively. Child separation from parents in midazolam group was easier than promethazine group (p=0.019). The mean of heart rate in midazolam group before premedication, before anesthesia and after tracheal intubation was 107.96±10.18, 116.18±14.2 and 125.61±16.82, respectively and in promethazine group, it was 104.82±9.4, 118.68±13.73 and 128.96±18.4, respectively. Postoperative nausea and vomiting in both groups did not occur. A short recovery time in midazolam group was 78.6% and in promethazine group was 53.6%.CONCLUSION: The results showed that using oral midazolam is preferred to oral promethazine for children separation (under 5 years) from their parents before general anesthesia.F NaziriE AlijanpourSM RabeiSH SeifiM Mir,M .HosseinpourA BijaniBabol University of Medical SciencesarticleanxietymidazolampromethazineMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 9, Iss 4, Pp 29-32 (2007)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	anxiety midazolam promethazine Medicine R Medicine (General) R5-920
spellingShingle	anxiety midazolam promethazine Medicine R Medicine (General) R5-920 F Naziri E Alijanpour SM Rabei SH Seifi M Mir, M .Hosseinpour A Bijani COMPARISON OF ORAL MIDAZOLAM WITH ORAL PROMETHAZINE ON DECREASING ANXIETY OF CHILDREN WHEN SEPARATED FROM THEIR PARENTS BEFORE ANESTHESIA
description	BACKGROUND AND OBJECTIVE: Children feel anxious and fear when they are separated from their parents before going to operating room that it may cause some difficulties and behavior changes. The purpose of this study was to compare the effect of oral midazolam and promethazine on decreasing children anxiety when they are separated from their parents before anesthesia.METHODS: This clinical study was performed on 56 children 1-5 years old with ASA class I & II who were candidate for elective surgery. They were divided into two randomized equal groups. First group received midazolam 0.3mg/kg and the second one received promethazine 1mg/kg (both orally), 20-30 minutes before entrance to the operating room. The way the child is separated from his/her parents, hemodynamic changes (heart rate) during entrance to the operating room, before and after induction of anesthesia, nausea and vomiting after surgery, and also the duration of recovery time were evaluated and recorded. FINDINGS: The mean age in midazolam and promethazine group was 36±18.25 and 36±15.86 months, respectively. Child separation from parents in midazolam group was easier than promethazine group (p=0.019). The mean of heart rate in midazolam group before premedication, before anesthesia and after tracheal intubation was 107.96±10.18, 116.18±14.2 and 125.61±16.82, respectively and in promethazine group, it was 104.82±9.4, 118.68±13.73 and 128.96±18.4, respectively. Postoperative nausea and vomiting in both groups did not occur. A short recovery time in midazolam group was 78.6% and in promethazine group was 53.6%.CONCLUSION: The results showed that using oral midazolam is preferred to oral promethazine for children separation (under 5 years) from their parents before general anesthesia.
format	article
author	F Naziri E Alijanpour SM Rabei SH Seifi M Mir, M .Hosseinpour A Bijani
author_facet	F Naziri E Alijanpour SM Rabei SH Seifi M Mir, M .Hosseinpour A Bijani
author_sort	F Naziri
title	COMPARISON OF ORAL MIDAZOLAM WITH ORAL PROMETHAZINE ON DECREASING ANXIETY OF CHILDREN WHEN SEPARATED FROM THEIR PARENTS BEFORE ANESTHESIA
title_short	COMPARISON OF ORAL MIDAZOLAM WITH ORAL PROMETHAZINE ON DECREASING ANXIETY OF CHILDREN WHEN SEPARATED FROM THEIR PARENTS BEFORE ANESTHESIA
title_full	COMPARISON OF ORAL MIDAZOLAM WITH ORAL PROMETHAZINE ON DECREASING ANXIETY OF CHILDREN WHEN SEPARATED FROM THEIR PARENTS BEFORE ANESTHESIA
title_fullStr	COMPARISON OF ORAL MIDAZOLAM WITH ORAL PROMETHAZINE ON DECREASING ANXIETY OF CHILDREN WHEN SEPARATED FROM THEIR PARENTS BEFORE ANESTHESIA
title_full_unstemmed	COMPARISON OF ORAL MIDAZOLAM WITH ORAL PROMETHAZINE ON DECREASING ANXIETY OF CHILDREN WHEN SEPARATED FROM THEIR PARENTS BEFORE ANESTHESIA
title_sort	comparison of oral midazolam with oral promethazine on decreasing anxiety of children when separated from their parents before anesthesia
publisher	Babol University of Medical Sciences
publishDate	2007
url	https://doaj.org/article/dadffc7f4e8349d28bde17abe368aff0
work_keys_str_mv	AT fnaziri comparisonoforalmidazolamwithoralpromethazineondecreasinganxietyofchildrenwhenseparatedfromtheirparentsbeforeanesthesia AT ealijanpour comparisonoforalmidazolamwithoralpromethazineondecreasinganxietyofchildrenwhenseparatedfromtheirparentsbeforeanesthesia AT smrabei comparisonoforalmidazolamwithoralpromethazineondecreasinganxietyofchildrenwhenseparatedfromtheirparentsbeforeanesthesia AT shseifi comparisonoforalmidazolamwithoralpromethazineondecreasinganxietyofchildrenwhenseparatedfromtheirparentsbeforeanesthesia AT mmir comparisonoforalmidazolamwithoralpromethazineondecreasinganxietyofchildrenwhenseparatedfromtheirparentsbeforeanesthesia AT mhosseinpour comparisonoforalmidazolamwithoralpromethazineondecreasinganxietyofchildrenwhenseparatedfromtheirparentsbeforeanesthesia AT abijani comparisonoforalmidazolamwithoralpromethazineondecreasinganxietyofchildrenwhenseparatedfromtheirparentsbeforeanesthesia
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COMPARISON OF ORAL MIDAZOLAM WITH ORAL PROMETHAZINE ON DECREASING ANXIETY OF CHILDREN WHEN SEPARATED FROM THEIR PARENTS BEFORE ANESTHESIA

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