Evaluation of Preoperative Midazolam in Reducing Anxiety and Delirium Among Pediatric Dental Surgery Patients
- Dr shaqiaq hasrat, AjKMC Muzaffarbad
- Maria Shoukat, Ayub Medical College Abbottabad KPK
- Dr Amna Tahir, Saidu medical college swat
- Dr Momina Taqdees Gallani, Azad Jammu and Kashmir medical college muzaffarbad
- Dr Shabnam mujassar, Pouch medical college rawalakot
- Dr Nelofer Shehnaz Tabassum, AJK Medical College Muzafferabad
Abstract:
Objective: This research looks at the potential consequences of giving children undergoing general anesthesia for dental surgery midazolam orally prior to the procedure. In particular, the research aims to look at how Midazolam affects separation from parents stress, the onset of delirium, and the length of stay in the unit for post-anesthesia care.
Methods: This research was conducted in Mayo Hospital, Lahore, Pakistan from October 2022 to October 2023. With 78 kids from the American Society of Anesthesiology (ASA), I group, double-blind research was carried out. The youngsters were split into 2 groups, each with 39 kids. Prior to the surgery, the first group was given 0.5 mg/kg of oral midazolam, while the control group was given a placebo. Emerging delirium following surgery, mask acceptance, parental separation, length of stay in the rehabilitation unit after anesthesia, and all of these variables were scored in the study and statistical comparisons were done.
Results: Parental separation ratings and the anesthetic mask acceptance rate were considerably lower in the test group. There were no significant variations observed between the two groups concerning the duration of time spent by patients in the post-anesthesia care unit or the occurrence of delirium.
Conclusions: Before a dental treatment, giving children oral Midazolam may help reduce anxiety, but it might not be able to eliminate emerging delirium following surgery. The dose seems to have little effect on how long patients stay in the unit for post-anesthesia care
Keywords: anesthesia, midazolam, anxiety