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Midazolam/fentanyl. A total intravenous technique for short procedures
Anaesthesia
|July 1, 1982
Summary
Midazolam and fentanyl provide effective total intravenous anesthesia for outpatient cystoscopy, ensuring high patient acceptance. While recovery was slightly longer, this anesthesia technique is a viable option.
Area of Science:
- Anesthesiology
- Pharmacology
Background:
- Total intravenous anesthesia (TIVA) is utilized for outpatient procedures.
- Benzodiazepines offer sedative and amnestic properties for anesthesia.
Purpose of the Study:
- To compare midazolam and fentanyl TIVA with Althesin and fentanyl TIVA for outpatient cystoscopy.
- To evaluate patient acceptance and anesthetic conditions during the procedures.
Main Methods:
- A comparative study using two TIVA techniques: midazolam/fentanyl versus Althesin/fentanyl.
- Outpatient cystoscopy procedures were performed under monitored anesthesia care.
Main Results:
- Both anesthetic techniques produced good procedural conditions and high patient acceptance.
- Midazolam/fentanyl resulted in slightly longer induction and recovery times, which were not clinically significant.
- A potential slight increase in phlebitis incidence was observed with midazolam, though exact incidence was uncertain due to same-day discharge.
Conclusions:
- Midazolam combined with fentanyl is a suitable TIVA regimen for outpatient cystoscopy.
- The anesthetic technique offers good patient tolerance and procedural control.
- Further investigation into phlebitis incidence may be warranted.
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