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Anales Médicos de la Asociación Médica del Centro Médico ABC

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Revista de la Asociación Médica del Centro Médico ABC
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2007, Number 3

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An Med Asoc Med Hosp ABC 2007; 52 (3)

Comparison propranolol and midazolam treatment of preoperative anxiety

Boone EAC, Guadarrama QF, Sánchez RJP, Díaz AMA, Rodríguez RJ, Zamora LJ
Full text How to cite this article

Language: Spanish
References: 9
Page: 114-117
PDF size: 102.45 Kb.


Key words:

Preoperative anxiety, propranolol, anxiolytic drugs.

ABSTRACT

The effectiveness of propranolol as pre-anesthetic medication to treat pre-operative anxiety was evaluated in 60 healthy patients, ASA I classification, using Anxiety Analog Visual Scale (AVS) undergoing ambulatory surgery. In this randomized study patients received one of the following pre-anesthetic medications: 40 mg oral propranolol (n = 20) , 7.5 mg oral midazolam (n = 20), or placebo (n = 20). VAS results and hemodynamic parameters such as blood pressure and heart rate were recorded before and after anesthetic induction. No significant difference was found between midazolam and propranolol for the treatment of pre-operative anxiety. The use of propranolol in patients undergoing ambulatory surgery did not have any central nervous system depression or amnesic periods. Symptoms of anxiety such as tachycardia, sweating, and involuntary movements were eliminated.


REFERENCES

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  4. Dyck JV, Chung F. A comparison of propranolol and diazepam for preoperative anxiolysis. Can J Anaesth 1991; 38: 704-709.

  5. Gottschalk LA, Stone WN, Gleser GC. Peripheral versus Central mechanisms accounting for antianxiety effects of propranolol. Psychosomatic Med 1974; 36: 1.

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  7. Tyrer PJ, Lader MH. Response to propranolol and diazepam in somatic and psychic anxiety. Br Med 1974; 2: 14-16.

  8. Saadat H, Drummond J, Maranets I et al. Hypnosis reduces Preoperative Anxiety in adult patients. Anesthesia Analgesia 2006; 102: 1394-1396.

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C?MO CITAR (Vancouver)

An Med Asoc Med Hosp ABC. 2007;52