Eficacia de la premedicación anestésica con midazolam por vía oral en niños de 3 a 10 años sometidos a cirugía electiva y ambulatoria en el Hospital Vicente Corral Moscoso. Cuenca-Ecuador 2014

Abstract

The main objective of premedication in children is to decrease fear, anxiety and associated with the separation of parents and other aspects of surgical intervention anxiety.

The oral route for ease in administration, is painless and is absorbed quickly. The only downside is the bitter taste. (1)

Objective: To evaluate the efficacy of premedication with oral midazolam in children aged 2-7 years undergoing elective and outpatient surgery in HVCM.

Methodology: A descriptive study in which 52 pediatric patients undergoing elective surgery and outpatient premedication was administered to obtained was performed. Was measured by the use of forms by the anesthesiology staff of HVCM. Once the data collected were entered and summarized for presentation graphics and descriptive analysis.

Results: Being observed decreased fear and anxiety with behavioral signs and symptoms of the patient relative to the child's level of sedation according to the Ramsay scale is observed that in most of the studied universe who used premedication with midazolam remained calm and cooperators, while in a small not suitable degree of sedation obtained by appearing agitated and restless patients.

Conclusions: Midazolam is an effective medication used to reduce preoperative anxiety and stress presented by the child. The investigation found that most pediatric patients are found in grade 2 sedation according to the Ramsay scale.

KEYWORDS: PREMEDICATION, CONSCIOUS SEDATION, MIDAZOLAM, ANXIETY, FEAR, VICENTE CORRAL MOSCOSO HOSPITAL.