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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1991-7-12
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pubmed:abstractText |
Safety and efficacy of two drug regimens used for sedation and analgesia during lower-extremity angiography were studied. Midazolam (loading dose 14.5 micrograms/kg; maintenance dose, 7.2 micrograms/kg) with or without fentanyl (loading dose, 0.725 micrograms/kg; maintenance dose, 0.362 micrograms/kg) was administered in a blind fashion as an IV bolus to 50 patients. Hemodynamic responses were monitored, and a standardized questionnaire was given to the patient before, immediately after, and 8-24 hr after the procedure. Physicians also were asked questions after the procedure. Heart rate and oxygen saturation were not significantly different before and 2 min after administration or between groups. A small but significant decrease in blood pressure occurred 2 min after the loading dose was given in both groups. Both drug regimens had statistically significant anxiolytic effects; however, anxiolytic effects were superior in the midazolam/fentanyl group (p less than .02). Patients rated the overall effectiveness of anesthesia with midazolam/fentanyl as superior (p less than .02). Analysis of physicians' judgments of the effectiveness of sedation and analgesia showed a statistically significant advantage for the midazolam/fentanyl group (p less than .01). We conclude that midazolam/fentanyl appears to be as safe as and more efficacious than midazolam alone for sedation and analgesia during lower-extremity angiography.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0361-803X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
157
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
173-6
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pubmed:dateRevised |
2008-2-15
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pubmed:meshHeading |
pubmed-meshheading:2048514-Angiography,
pubmed-meshheading:2048514-Conscious Sedation,
pubmed-meshheading:2048514-Double-Blind Method,
pubmed-meshheading:2048514-Drug Therapy, Combination,
pubmed-meshheading:2048514-Female,
pubmed-meshheading:2048514-Fentanyl,
pubmed-meshheading:2048514-Hemodynamics,
pubmed-meshheading:2048514-Humans,
pubmed-meshheading:2048514-Infusions, Intravenous,
pubmed-meshheading:2048514-Leg,
pubmed-meshheading:2048514-Male,
pubmed-meshheading:2048514-Midazolam,
pubmed-meshheading:2048514-Middle Aged
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pubmed:year |
1991
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pubmed:articleTitle |
Randomized double-blind trial of midazolam/placebo and midazolam/fentanyl for sedation and analgesia in lower-extremity angiography.
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pubmed:affiliation |
University of Iowa College of Medicine, Department of Radiology, Iowa City 52242.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
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