Effects of oral diazepam on intravenous access in same day surgery patients

Journal of Clinical Anesthesia
M I WittenbergK K Tremper

Abstract

To determine the effects of 5 mg oral diazepam on vein quality, patient anxiety, and intravenous (i.v.) access. Prospective, randomized, double-blind, placebo controlled study. Preoperative holding area of a large university hospital. 202 adult ASA physical status I, II, and III patients scheduled for elective outpatient surgery. Patients were randomized to receive either 5 mg oral diazepam or placebo, 30 minutes prior to i.v. access. Vein quality and patient anxiety were assessed prior to, and 30 minutes following, premedication (just prior to venipuncture) using a 5 point ordinal scale and 10 cm visual analog scale, respectively. The number of attempts at venous access and the gauge of the catheter used were also recorded. Baseline patient anxiety was similar between the two groups and both showed a significant improvement in patient anxiety at 30 minutes following drug administration. The diazepam group, however, had a significantly greater reduction in anxiety scores (p < 0.05). There were no differences in baseline vein quality between the two groups; however, the quality of the vein was subjectively improved following diazepam administration. The mean number of attempts at i.v. access between the diazepam group (1.26 +/- ...Continue Reading

References

Dec 1, 1979·Acta Anaesthesiologica Scandinavica·J KantoM Mansikka
Sep 1, 1977·Anesthesiology·W H ForrestB W Brown
Sep 1, 1992·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·P M Loeffler
Aug 1, 1990·Research in Nursing & Health·M E Wewers, N K Lowe
Jun 1, 1967·British Journal of Anaesthesia·W Norris, W L Baird
Jan 1, 1983·Anesthesia and Analgesia·M DivollR I Shader
Aug 1, 1993·British Journal of Anaesthesia·R E John, K M Sherry

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Citations

Nov 25, 2003·Journal of Clinical Nursing·Mark Mitchell
Feb 12, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jun-Seok LeeKi-Won Kim

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