What question did this study set out to answer?

To assess the feasibility and efficacy of patient-administered intravenous diazepam for managing preoperative anxiety.

May 1, 1989Anaesthesia and Intensive Care

Patient-Administered Anxiolysis — A Pilot Study

View Full Paper

Ask AI

Bookmark

Why the study?

Does self-premedication with intravenous diazepam reduce anxiety in preoperative patients?

Population

50 preoperative patients

Design

Case_series

Follow-up

30 minutes

Authors

DGD. C. Galletly TSTimothy G. ShortUniversity of Auckland PFPaul ForrestThe University of Sydney

Discussion

Member takes

Implication

Patient self-administered IV diazepam may reduce preoperative anxiety; case report leaves open need for randomized trials.

Key Points

To assess the feasibility and efficacy of patient-administered intravenous diazepam for managing preoperative anxiety.
Enrolled 50 preoperative surgical patients in an open interventional pilot study.
Used a patient-controlled analgesia (PCA) pump delivering on-demand 2 mg aliquots of intravenous diazepam up to a maximum of 20 mg over 30 minutes based on patient-perceived anxiety.
Patients administered a mean diazepam dose of 8.1 mg (range 0–16 mg), which produced a highly significant reduction in both patient- and anesthetist-assessed anxiety scores.
Self-premedication dose correlated best with baseline patient anxiety ratings, while sex, surgical procedure type, and anesthetist ratings did not influence dosing, and no excessive sedation occurred.

Structured PICO

Does self-premedication with intravenous diazepam reduce anxiety in preoperative patients?

Population

50 preoperative patients

Intervention

Self-premedication with intravenous diazepam (aliquots of 2 mg on demand up to 20 mg over a 30 minute premedication period) using a patient-controlled analgesia system

Outcome

Patient- and anaesthetist-assessed anxiety ratingpatient reported

Patient-administered intravenous diazepam is a feasible method for reducing preoperative anxiety without causing excessive sedation.

Cite This Study

Galletly et al. (1989) studied this question.

synapsesocial.com/papers/6a907803f5c79ce9992db76b https://doi.org/10.1177/0310057x8901700204

View Full Paper

Ask AI

Bookmark

Patient-Administered Anxiolysis — A Pilot Study

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Patient-Administered Anxiolysis — A Pilot Study

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider