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Propofol Auto-coninduction Versus Midazolam Propofol Coninduction; a Comparative Study Applying Priming Technique.

Author(s)
Ammar Ali Shah Holy Family Hospital, Rawalpindi, Pakistan
Latif Abid Holy Family Hospital, Rawalpindi, Pakistan
Ayesha Nazir Holy Family Hospital, Rawalpindi, Pakistan
Zubair Tariq National Health Service (NHS), England, UK
Farah Naz Holy Family Hospital, Rawalpindi, Pakistan
Abstract
OBJECTIVE: To assess the applicability of priming technique in case of anesthetic agents propofol and midazolam. STUDY DESIGN: A Randomized controlled trial. PLACE AND DURATION: Department of Anaesthesiology and Intensive Care, Holy Family Hospital, Rawalpindi from 1st of January 2016 to 30th June 2016. METHODOLOGY: Current study had ninety participants divided equally in 3 groups with equal number of patients. Group I was given 0.5 mg/kg propofol intravenously which was about twenty percent of the worked out dose of propofol for anesthesia induction. Group II was injected 0.05 mg / kg intravenous midazolam while Group III was injected 3 ml 0.9 % saline, which was succeeded two min afterwards in all the groups with intravenous propofol injection till the loss of corneal reflex. Hemodynamic variables systolic blood pressure, diastolic blood pressure and mean arterial blood pressure were noted. RESULTS: The results showed a statistically significant reduction in the dosage requirement of induction agents. Induction dosage worked out to be 23.65% lower in the Group I (propofol auto-coinduction group) and 12.87% lesser in the Group II (midazolam coinduction group) in comparison to the control. The hemodynamics remained more stable in Group II (midazolam propofol coinduction group) during per intubation period. CONCLUSIONS: The principal of co-induction was found to be efficacious in terms of anesthesia induction agents propofol and midazolam.
Publication Details
Page(s) 201-204
DOI DOI not available
Published Journal: Isra Medical Journal, Volume: 9, Issue: 4, Year: 2017

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References
DjaianiG,Ribes-PastorMP, 1999.Propofol auto-co-induction as an alternative to midazolam co-induction for ambulatory surgery,Anesthesia 54 63 -67
KumarAA,SanikopCS,KoturPF, 2006.Effect of priming principle on the induction dose requirements of propofol-A randomized clinical trial,Indian J Anaesth 283 -87
RajkumarG,ThokchomR,PradhanPC,SinghMKH,SinghHT,SinghRN, 2013.Co-induction effects of midazolam, thiopentone and ketamine with propofol in general anesthesia,J Med Soc 27 110 -13
KarloR,SinghNR,SinghKM,SinghTH,DeviNA,DeviMB, 2015.Priming effects of propofol during induction of anesthesia,J Med Soc 29 92 -95
SrivastavaU,SharmaN,KumarA,SaxenaS., 2006.Small dose propofol or ketamine as an alternative to midazolam coinduction to propofol,Indian J Anaesth 50 112 -24
ThakareDW,DesaiUH,SharmaKS, 2016.Evaluation of efficacy of priming dose of propofol in reducing induction dose requirements in patients undergoing elective surgeries under general anesthesia,Inter J of Res in Med Sci 3717 -23
AndersonL,Robb H, 1998.A comparison of midazolam co-induction with propofol predosing for induction of anesthesia,Anaesthesia 53 1117 -20
ShashankDS,SinghNR,SinghLK, 2014.Effects of pretreatment with different neuromuscular blocking agents on facilitation of intubation with rocuronium: A prospective randomized comparative study,Ind J of Anes 58 303 -
ShashankDS,SinghNR,SinghLK, 2014.Effects of pretreatment with different neuromuscular blocking agents on facilitation of intubation with rocuronium: A prospective randomized comparative study,Ind J of Anae 58 303 -308
SurbatovićM,VesićZ,DjordjevićD,RadakovićS,ZebaS,JovanovićD, 2012.Hemodynamic stability in total intravenous propofol anesthesia with midazolam coinduction versus general balanced anesthesia in laparoscopic cholecystectomy, 69 967 -72
ShteamerJW,DedhiaRC, 2017.Sedative choice in drug-induced sleep endoscopy: A neuropharmacology-based review,The Laryngoscope 127 273 -79
SingletoneJD, 2000.Induction pain perception after Premedication with propofol vs lignocaine: a pilot study,Ame Asso of Nurs Anes J 68 149 -51
CresseyDM,BhaskaranNC,ReillyCS, 2001.Effect of midazolam pretreatment on induction dose requirements of propofol in combination with fentanyl in younger and older adults,Anaesthesia 56 108 -13
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