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Scholars Journal of Applied Medical Sciences | Volume-8 | Issue-06
The Effect of Midazolam Together with Acetaminophen in Premedication: A Study in a Tertiary Care Hospital, Pabna, Bangladesh
Dr. Ataur Rahman, Dr. Mohammad Faisal Zinnat, Dr. Md. Sirajul Islam, Dr. Mohammad Mostafizur Rahman
Published: June 30, 2020 | 131 91
DOI: 10.36347/sjams.2020.v08i06.045
Pages: 1639-1642
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Abstract
Background: Premedication is the administration of medication before anesthesia. It is used to prepare the patient for anesthesia and to help provide optimal conditions for surgery. In premedication, Sedative premedication is widely administered before surgery. Midazolam has been used extensively worldwide for pharmacological premedication. The aim of this study was to determine the effect of Midazolam together with Acetaminophen in premedication. Methods & Materials: This was a descriptive observational study was conducted at the department of Anaesthesiology in 250 bedded general hospital, Pabna, Bangladesh during the period from the study during January 2017 to December, 2018. A total of 100 patients, below 8 years of age and either sex who were scheduled for elective surgery or diagnostic procedures requiring anaesthesia techniques and prescribed anxiolytic premedication with Midazolam by the anaesthesiologist were included in the study during January, 2017 to December, 2018. The patients were assessed by the attending anaesthetist, and given the modified Yale scale. Patients were taken on a stretcher to the operating room, and after setting up basic monitoring, inhaled induction was initiated using sevoflurane. At that point (1min), the Richmond-RASS sedation-agitation scale was applied to determine the sedation of the patients. Results:  A total of 100 children included in this study. The mean BMI of the children were 15± 3. The age of the children was > 08 years. Of them, 30% were females and 70% were males. The application of the Yale scale showed adequate sedation and anxiolytics in 60% of the patients. When the sedation-anxiolytics scale was applied at the time the children were separated from their parents, it showed that 61% of the children were indifferent or quiet, anious, not violent were 15%, frequent movement were 08%, agglessive, violent were 05%, very agitated were 04%, sleepy were 03%, deep sedation was 01% At this stage, there was no ..........