Abstract
Blood gas analysis was performed before and 1 h after 10 mg oral diazepam premedication on 50 adult male patients undergoing different surgical operations. There was a significant (p less than 0.01) decrease in arterial oxygen tension, a significant (p less than 0.01) increase in alveolar--arterial oxygen tension difference, and no significant change in arterial carbon dioxide tension or pH after administration of the drug. It is concluded that diazepam given by mouth 1 h before operation increases venous admixture. It is suggested therefore that oral diazepam premedication should be given cautiously to patients with impaired cardiorespiratory reserve, preferably without adding a narcotic drug.
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Selected References
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- Assaf R. A., Dundee J. W., Gamble J. A. The influence of the route of administration on the clinical action of diazepam. Anaesthesia. 1975 Mar;30(2):152–158. doi: 10.1111/j.1365-2044.1975.tb00826.x. [DOI] [PubMed] [Google Scholar]
- Baird E. S., Hailey D. M. Delayed recovery from a sedative: correlation of the plasma levels of diazepam with clinical effects after oral and intravenous administration. Br J Anaesth. 1972 Aug;44(8):803–808. doi: 10.1093/bja/44.8.803. [DOI] [PubMed] [Google Scholar]
- Catchlove R. F., Kafer E. R. The effects of diazepam on the ventilatory response to carbon dioxide and on steady-state gas exchange. Anesthesiology. 1971 Jan;34(1):9–13. doi: 10.1097/00000542-197101000-00005. [DOI] [PubMed] [Google Scholar]
- Cohen R., Finn H., Steen S. N. Effect of diazepam and meperidine, alone and in combination, on respiratory response to carbon dioxide. Anesth Analg. 1969 May-Jun;48(3):353–355. [PubMed] [Google Scholar]
- Dalen J. E., Evans G. L., Banas J. S., Jr, Brooks H. L., Paraskos J. A., Dexter L. The hemodynamic and respiratory effects of diazepam (Valium). Anesthesiology. 1969 Mar;30(3):259–263. doi: 10.1097/00000542-196903000-00002. [DOI] [PubMed] [Google Scholar]
- Lyons S. M., Clarke R. S., Vulgaraki K. The premedication of cardiac surgical patients. A clinical comparison of four regimes. Anaesthesia. 1975 Jul;30(4):459–470. doi: 10.1111/j.1365-2044.1975.tb00893.x. [DOI] [PubMed] [Google Scholar]
- Marshall B. E., Cohen P. J., Klingenmaier C. H., Aukberg S. Pulmonary venous admixture before, during, and after halothane: oxygen anesthesia in man. J Appl Physiol. 1969 Nov;27(5):653–657. doi: 10.1152/jappl.1969.27.5.653. [DOI] [PubMed] [Google Scholar]
- Pearce C. The respiratory effects od diazepam supplementation of spinal anaesthesia in elderly males. Br J Anaesth. 1974 Jun;46(6):439–441. doi: 10.1093/bja/46.6.439. [DOI] [PubMed] [Google Scholar]
- Steen S. N., Weitzner S. W., Amaha K., Martinez L. R. The effect of diazepam on the respiratory response to carbon dioxide. Can Anaesth Soc J. 1966 Jul;13(4):374–377. doi: 10.1007/BF03002179. [DOI] [PubMed] [Google Scholar]
- Utting H. J., Pleuvry B. J. Benzoctamine-a study of the respiratory effects of oral doses in human volunteers and interactions with morphine in mice. Br J Anaesth. 1975 Sep;47(9):987–992. doi: 10.1093/bja/47.9.987. [DOI] [PubMed] [Google Scholar]
