Effect of Preoperative Oral Midazolam Sedation on Separation Anxiety and Emergence Delirium Among Children Undergoing Inguinal Hernia Repair Under General Anesthesia

Abstract

Objective: To determine the effect of preoperative oral midazolam sedation on separation anxiety and emergence delirium among children undergoing inguinal hernia repair under general anesthesia
Methodology: Present Descriptive cross sectional study was done at Department of Anaesthesia, Abbasi Shaheed Hospital, Karachi, on 82 children undergoing inguinal hernia repair were included in this study. Children age, weight, height was measured
and pre medicated with 0.5 mg/kg (maximum total dose was 20 mg) of oral Midazolam in 20 ml of 10% sodium citrate solution, 30 min prior to induction. Premedication was done 10–15 min prior to separation from parents and 20–25 min
prior to intubation. ALL information were noted in the proforma attached as annexure.
Results: The average age of the patients was 44.44±19.12 years. Effectiveness of preoperative oral midazolam sedation on separation anxiety and emergence delirium among children undergoing inguinal hernia repair was 60.98% and 74.39%
respectively.
Conclusion: Oral preoperative Midazolam in a dose of 0.5 mg/kg might be a useful treatment adjunct in reducing parental separation anxiety, and for ease of anesthesia induction. Preoperative Midazolam sedation has no reducing effect on postoperative ED in children undergoing dental treatment under general anesthesia.