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June 1, 1995Anesthesia & Analgesia

Objective and Subjective Impairment from Often-Used Sedative/Analgesic Combinations in Ambulatory Surgery, Using Alcohol as a Benchmark

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Key result

Ambulatory anesthesia sedative combinations produce impairment matching or exceeding ~0.11% BAC.

  • n=12

Why the study?

Do sedative/analgesic combinations used in ambulatory surgery produce impairment similar to alcohol in healthy volunteers?

Population

12 healthy human volunteers (10 males and 2 females; age range 21-34 yr)

Comparison

Fentanyl 50 micrograms and propofol 35 mg… vs Alcohol 56 g and placebo

Design

RCT, randomized, cross-over, double-blind

Follow-up

240 min postinjection

Authors

PTPankaj ThaparLouisiana State University in ShreveportJZJames P. ZacnyNorthwestern UniversityMCMark ChoiCedars-Sinai Medical Center

Discussion

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Implication

Warrants stricter discharge criteria and driving restrictions after ambulatory sedation; extends RCT evidence benchmarking psychomotor impairment to alcohol levels.

Study Design

Type

RCT (n=12)

Blinding

double-blind

Randomization

randomized, cross-over

Structured PICO

Do sedative/analgesic combinations used in ambulatory surgery produce impairment similar to alcohol in healthy volunteers?

P
Population
12 healthy human volunteers (age 21-34 years) evaluated in a 5-week cross-over study.
I
Intervention
Fentanyl 50 micrograms and propofol 35 mg (FP), fentanyl 50 micrograms and midazolam 2 mg (FM), fentanyl 50 micrograms, midazolam 2 mg, and propofol 35 mg (FMP) (adjusted per 70 kg, administered intravenously)
C
Comparator
Alcohol 56 g (orally administered) and placebo (PLC)
O
Outcome
Impairment measured via subjective (mood) and objective (psychomotor performance) assays, and short-term memory up to 240 min postinjectionsurrogate

Commonly used sedative/analgesic combinations in ambulatory anesthesia produce psychomotor and subjective impairment similar to or greater than a large dose of alcohol.

Cite This Study

Thapar et al. (1995) conducted an RCT in Healthy volunteers (n=12). Sedative/analgesic combinations (fentanyl, midazolam, propofol) vs. Alcohol 56 g and placebo was evaluated on Psychomotor performance, subjective effects, and short-term memory. Sedative/analgesic combinations used in ambulatory anesthesia produced impairment similar to or greater than that observed with a large dose of alcohol (BAC 0.11%).

synapsesocial.com/papers/6aa1fef9d4bb6c013cb2ad7dhttps://doi.org/10.1097/00000539-199506000-00005
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Clinical Recovery and Psychomotor Function after Brief Anesthesia with Propofol or Thiopental1992 · 96 citations
  2. 2THE EFFECTS OF ALCOHOL AND OTHER DRUGS ON PSYCHOMOTOR PERFORMANCE AND COGNITIVE FUNCTION1991 · 205 citations
  3. 3Alcohol and marijuana: Comparative dose effect profiles in humans1988 · 58 citations
  4. 4Sedation and Recovery of Psychomotor Function After Intravenous Administration of Various Doses of Midazolam and Diazepam1992 · 61 citations