STUDY OF ORAL MIDAZOLAM AS A PREANAESTHTIC MEDICATION FOR ELECTIVE SURGERY IN PAEDIATRIC PATIENTS

CORRESPONDING AUTHOR:
Dr. Jaya Dighe,
Associate Professor,
Department of Anaesthesia,
SBH Government Medical College,
Dhule, Maharashtra.
Email: drjayadighe@yahoo.com

ABSTRACT: BACKGROUND: Pre anaesthetic medication is a real challenge specially in cases of paediatric age group. A good quality oral preanaesthetic must fulfill criteria like easily application, rapid absorption, short duration of action and have minimal side effect. Present study carried out with objective of evaluation of oral Midazolam as a pre-anaesthetic in elective surgical cases in paediatric age group. METHODS: Paediatric cases for elective surgery were included for receiving oral midazolam (0.5/kg) pre anaesthetic medication in prospective observational study. Total 50 cases from age group (01-10 yrs), weight (13-23kg), ASA grading I & II, normo-tensive patients were selected. Evaluation of drug was assessed with a scale from 1-4 which includes sedation, separation from parent, and child behaviour at induction. Data analyzed with percentage and mean standard deviation of the scale score. RESULTS: Sedation score mean after pre medication was 2.76+ 0.58. Child behaviour at the time of separation from parents score mean was 2.96+ 0.44. Mean score of behaviour of child during induction was 2.80+0.49. 70% of the cases achieved sedation, 86 % of the cases achieved separation from parents while 76% of the cases had more than 2 score of child behaviour at the time of induction. CONCLUSION: Oral midazolam as a preanaesthetic medication in children allay the anxiety & facilitate separation of children from their parents when they enter surgical unit. These can be overcome by lower degree of sedation in our study.
KEYWORDS: Oral Midazolam, Premedication, Paediatric cases.