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November 1, 1991Anesthesia & Analgesia

Adrenergic Modulation of Preoperative Anxiety

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Key result

Temazepam, clonidine, and timolol as preanesthetic medications all reduced preoperative anxiety compared to placebo, with neither clonidine nor timolol offering major advantages over temazepam.

Why the study?

Do temazepam, clonidine, or timolol reduce preoperative anxiety compared to placebo in patients undergoing minor orthopedic surgery?

Population

Patients undergoing minor orthopedic surgery

Comparison

Temazepam, clonidine, or timolol as… vs Placebo

Design

RCT, randomized, double-blind

Follow-up

early postoperative period (up to 90 min)

Authors

UCU. A. CARABINERoyal Jubilee Maternity ServicesKMK. R. MilliganQueen's University BelfastJMJohn MooreManchester Metropolitan University

Discussion

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Implication

Supports temazepam for preoperative anxiolysis; confirms no major advantage of clonidine or timolol in minor orthopedic surgery.

Study Design

Type

RCT

Blinding

double-blind

Randomization

randomized

Structured PICO

Do temazepam, clonidine, or timolol reduce preoperative anxiety compared to placebo in patients undergoing minor orthopedic surgery?

P
Population
Patients undergoing minor orthopedic surgery evaluated for preoperative anxiety.
I
Intervention
Temazepam, clonidine, or timolol as preanesthetic medications
C
Comparator
Placebo
O
Outcome
Preoperative anxietypatient reported

Temazepam, clonidine, and timolol effectively reduce preoperative anxiety compared to placebo, but adrenergic modulators offer no major advantage over temazepam.

Cite This Study

CARABINE et al. (1991) conducted an RCT in Preoperative anxiety. Temazepam, clonidine, and timolol vs. Placebo was evaluated on Preoperative anxiety. Temazepam, clonidine, and timolol as preanesthetic medications all reduced preoperative anxiety compared to placebo, with neither clonidine nor timolol offering major advantages over temazepam.

synapsesocial.com/papers/6a97fc94476dc9b054d7d3d4https://doi.org/10.1213/00000539-199111000-00021
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Also Consider

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

  1. 1Effects of Clonidine versus Midazolam premedication on postoperative pain in patients undergoing elective spinal neurosurgery. Prospective randomized study2017
  2. 2Premedication with Oral and Transdermal Clonidine Provides Safe and Efficacious Postoperative Sympatholysis1994 · 138 citations
  3. 3Oral Premedication for Operations on the Face under Local Anesthesia: A Placebo-Controlled Double-Blind Trial2001 · 42 citations
  4. 4Pre‐operative assessment of anxiety and measurement of arterial plasma catecholamine concentrations The effect of oral β‐adrenergic blockade with metoprolol1989 · 14 citations
  5. 5Oral premedication one hour before minor gynaecological surgery — does it have any effect?1995 · 9 citations