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May 1, 1989Anaesthesia and Intensive CareOpen Access

Double-Blind Comparison of Midazolam and Temazepam as Oral Premedicants for Outpatient Anaesthesia

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Key result

Oral midazolam 7.5 mg produced greater anxiolytic effects and amnesia compared to temazepam 20 mg in 60 patients, with fewer residual post-discharge effects.

Why the study?

Does oral midazolam 7.5 mg improve anxiolysis and reduce residual post-discharge effects compared to temazepam 20 mg in patients undergoing day-stay urological surgery?

Population

60 patients undergoing day-stay urological surgery

Comparison

Midazolam 7.5 mg oral vs Temazepam 20 mg oral

Design

RCT, double-blind

Follow-up

Evening of surgery

Authors

TSTimothy G. ShortUniversity of AucklandDGD. C. GalletlyStatistics New Zealand

Discussion

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Implication

Supports preferring midazolam 7.5 mg over temazepam for day-stay urological premedication; extends RCT evidence on benzodiazepine selection in ambulatory surgery.

Study Design

Type

RCT (n=60)

Blinding

Double-blind

Structured PICO

Does oral midazolam 7.5 mg improve anxiolysis and reduce residual post-discharge effects compared to temazepam 20 mg in patients undergoing day-stay urological surgery?

P
Population
60 patients undergoing day-stay urological surgery evaluated for outpatient anaesthesia premedication.
I
Intervention
Midazolam 7.5 mg oral
C
Comparator
Temazepam 20 mg oral
O
Outcome
Anxiolysis and sedation at one hour following ingestionpatient reported

Midazolam 7.5 mg is a more suitable oral premedicant than temazepam 20 mg for outpatient surgery due to better anxiolysis and fewer residual post-discharge effects.

Cite This Study

Short et al. (1989) conducted an RCT in Day-stay urological surgery (n=60). Midazolam vs. Temazepam 20 mg was evaluated on Anxiolysis and sedation. Oral midazolam 7.5 mg produced greater anxiolytic effects and amnesia compared to temazepam 20 mg in 60 patients, with fewer residual post-discharge effects.

synapsesocial.com/papers/6a92ba256cd82e562097b1f4https://doi.org/10.1177/0310057x8901700205
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Day case anaesthesia and memory1979 · 30 citations
  2. 2Premedication for day case surgery1987 · 69 citations
  3. 3Placebo Controlled Comparison of Midazolam, Triazolam and Diazepam as Oral Premedicants for Outpatient Anaesthesia1987 · 27 citations
  4. 4Midazolam kinetics1981 · 288 citations
  5. 5Temazepam and recovery in day surgery1988 · 9 citations