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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1981 Nov;63(6):429–431.

The effects of oral diazepam premedication on blood gases.

N El Mikatti
PMCID: PMC2493932  PMID: 6794417

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

These references are in PubMed. This may not be the complete list of references from this article.

  1. 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]
  2. 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]
  3. 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]
  4. 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]
  5. 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]
  6. 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]
  7. 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]
  8. 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]
  9. 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]
  10. 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]

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