EFFECTS OF MIDAZOLAM ON MEDIAN NERVE SOMATOSENSORY EVOKED POTENTIALS

We have studied the effect of i.v. midazolam on median nerve somatosensory evoked potentials (SSEP) in 10 unpremedicated adults. Anaesthesia was induced with midazolam by bolus administration (0.2 mg kg−1) followed by infusion (5 mg h−1). The latency and amplitudes of the SSEP responses over the sec...

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Veröffentlicht in:British journal of anaesthesia : BJA 1990-05, Vol.64 (5), p.590-593
Hauptverfasser: SLOAN, T.B., FUGINA, M.L., TOLEIKIS, J.R.
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container_title British journal of anaesthesia : BJA
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creator SLOAN, T.B.
FUGINA, M.L.
TOLEIKIS, J.R.
description We have studied the effect of i.v. midazolam on median nerve somatosensory evoked potentials (SSEP) in 10 unpremedicated adults. Anaesthesia was induced with midazolam by bolus administration (0.2 mg kg−1) followed by infusion (5 mg h−1). The latency and amplitudes of the SSEP responses over the second cervical vertebrae (SC2) and sensory cortex (P17, N20, P25) were recorded before and for 10 min after induction. Data were analysed over that period for time-related alterations. Small but statistically significant increases in latency of the cortical N20 (P < 0.005) and P25 (P < 0.001) waves and interwave conduction times of SC2 to P25 (P < 0.005) and N20 to P25 (P < 0.021) were observed. Cortical amplitude (N20–P25) decreased significantly (P < 0.012), to approximately 60% of baseline. These results demonstrated that midazolam produced a depression of cortical SSEP amplitude without clinically significant alterations in latency.
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Anaesthesia was induced with midazolam by bolus administration (0.2 mg kg−1) followed by infusion (5 mg h−1). The latency and amplitudes of the SSEP responses over the second cervical vertebrae (SC2) and sensory cortex (P17, N20, P25) were recorded before and for 10 min after induction. Data were analysed over that period for time-related alterations. Small but statistically significant increases in latency of the cortical N20 (P &lt; 0.005) and P25 (P &lt; 0.001) waves and interwave conduction times of SC2 to P25 (P &lt; 0.005) and N20 to P25 (P &lt; 0.021) were observed. Cortical amplitude (N20–P25) decreased significantly (P &lt; 0.012), to approximately 60% of baseline. 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Psychiatry</topic><topic>Psychopharmacology</topic><topic>Spinal Cord - physiology</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SLOAN, T.B.</creatorcontrib><creatorcontrib>FUGINA, M.L.</creatorcontrib><creatorcontrib>TOLEIKIS, J.R.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of anaesthesia : BJA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SLOAN, T.B.</au><au>FUGINA, M.L.</au><au>TOLEIKIS, J.R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>EFFECTS OF MIDAZOLAM ON MEDIAN NERVE SOMATOSENSORY EVOKED POTENTIALS</atitle><jtitle>British journal of anaesthesia : BJA</jtitle><addtitle>Br J Anaesth</addtitle><date>1990-05-01</date><risdate>1990</risdate><volume>64</volume><issue>5</issue><spage>590</spage><epage>593</epage><pages>590-593</pages><issn>0007-0912</issn><eissn>1471-6771</eissn><coden>BJANAD</coden><abstract>We have studied the effect of i.v. midazolam on median nerve somatosensory evoked potentials (SSEP) in 10 unpremedicated adults. Anaesthesia was induced with midazolam by bolus administration (0.2 mg kg−1) followed by infusion (5 mg h−1). The latency and amplitudes of the SSEP responses over the second cervical vertebrae (SC2) and sensory cortex (P17, N20, P25) were recorded before and for 10 min after induction. Data were analysed over that period for time-related alterations. Small but statistically significant increases in latency of the cortical N20 (P &lt; 0.005) and P25 (P &lt; 0.001) waves and interwave conduction times of SC2 to P25 (P &lt; 0.005) and N20 to P25 (P &lt; 0.021) were observed. Cortical amplitude (N20–P25) decreased significantly (P &lt; 0.012), to approximately 60% of baseline. These results demonstrated that midazolam produced a depression of cortical SSEP amplitude without clinically significant alterations in latency.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>2354098</pmid><doi>10.1093/bja/64.5.590</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Anesthesia, Intravenous
benzodiazepines: midazolam
Biological and medical sciences
Cerebral Cortex - physiology
Evoked Potentials, Somatosensory - drug effects
Female
Hemodynamics - drug effects
Humans
Hypnotics
Hypnotics. Sedatives
Male
Median Nerve - drug effects
Median Nerve - physiology
Medical sciences
Midazolam - pharmacology
Middle Aged
Monitoring: somatosensory evoked potentials
Neuropharmacology
Pharmacology. Drug treatments
Psychology. Psychoanalysis. Psychiatry
Psychopharmacology
Spinal Cord - physiology
Time Factors
title EFFECTS OF MIDAZOLAM ON MEDIAN NERVE SOMATOSENSORY EVOKED POTENTIALS
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