Recovery of postural stability following conscious sedation with midazolam in the elderly

被引：7

作者：

Fujisawa T. ^{[1
]}

Suzuki S. ^{[1
]}

Tanaka K. ^{[1
]}

Kamekura N. ^{[1
]}

Fukushima K. ^{[1
]}

Kemmotsu O. ^{[2
]}

机构：

[1] Department of Dental Anesthesiology, Hokkaido University, Graduate School of Dental Medicine, Kita-ku, Sapporo 060-8586

[2] Department of Anesthesiology and Critical Care Medicine, Hokkaido University Graduate, School of Medicine, Kita-ku, Sapporo 060-8638

来源：

Journal of Anesthesia | 2002年 / 16卷 / 3期

关键词：

Aged; Conscious sedation; Midazolam; Postural stability; Recovery;

D O I：

10.1007/s005400200024

中图分类号：

学科分类号：

摘要：

Purpose. To investigate the differences in recovery of postural stability, after obtaining similar intravenous sedation levels with midazolam, in elderly and younger patients undergoing dental surgery. Methods. We studied 15 elderly patients (>65 years) and 15 younger patients (<55 years) after intravenous sedation. Midazolam was carefully titrated over 4-5min until slow response to verbal commands, ptosis of the eyelid, or slight slurring of speech was obtained. Parameters were postural balance tests and an addition test, as a psychomotor function test. Results. The dose of midazolam in the elderly group (0.045 ± 0.012 mg·kg-1) was 62% of that in the younger group (0.074 ± 0.026 mg·kg-1). In evaluation of the percentile rank of a balance test with a visual feedback system, which contained a dynamic balance element, recovery at 60 min in the elderly group was significantly slower than that in the younger group. However, the recovery times for the balance test and the addition test, at which the significantly changed values were restored to the baseline values, were 120min and 90min, respectively, in both groups. Conclusion. In the recovery from sedation, elderly patients had more difficulty in acquiring postural adjustment during movement than in maintaining a standing posture. If the dose is carefully administered, however, even elderly patients might be able to return home 2h after midazolam administration, as could the younger patients.

引用

页码：198 / 202

页数：4

共 20 条

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