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Day-Case Surgery: Enhanced Recovery with Flumazenil
Author(s) -
Brian Birch,
Ken Anson,
Elizabeth Farrell Clifford,
Ronald Miller
Publication year - 1990
Publication title -
journal of the royal society of medicine
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.38
H-Index - 81
eISSN - 1758-1095
pISSN - 0141-0768
DOI - 10.1177/014107689008300709
Subject(s) - flumazenil , medicine , surgery , anesthesia , computer science , benzodiazepine , receptor
In an open, randomized, parallel group study of 84 adult patients undergoing elective day-case urological surgery the specific benzodiazepine antagonist flumazenil was shown to reverse effectively subjective postoperative sedation due to midazolam and enabled 83% of patients to recover and be ready for potential discharge within 15 min of surgery (control group 24% p less than 0.001). The significantly shorter recovery time has benefits in terms of increased patient cooperation and reduced demands on postoperative nursing care. The implications of these findings for day-case surgery are discussed.

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