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British Journal of Anaesthesia, 1981, Vol. 53, No. 12 1269-1272
© 1981 The Board of Management and Trustees of the British Journal of Anaesthesia


research-article

DIAZEPAM IN RECTAL SOLUTION AS PREMEDICATION IN CHILDREN, WITH SPECIAL REFERENCE TO SERUM CONCENTRATIONS

M. A. K. MATTILA, M.D., M. K. RUOPPI, M.D., E. AHLSTRÖM-BENGS, H. M. LARNI, M.I. and P. O. PEKKOLA, M.D.

Department of Anaesthesiology, Kuopio University Hospital SF-70210 Kuopio 21, Finland

Correspondence to M.A.K.M.

The absorption of rectal diazepam solution was studied in 22 children aged 1–9 yr by measuring serum concentrations. The mean dose was 0.27±0.09mg kg–1. The mean serum concentration was 98.5±53.5 ng ml–1 4min after administration and 206.7±105.8ng ml–1 at 11 min. The correlation between dose and scrum concentration was statistically significant at both times. With a dose of 0.4–0.5 mg kg–1 an adequate serum concentration was achieved within 5–6 min. No side-effects were observed. A rectal solution provides a faster, more effective and reliable alternative to tablets and suppositories, and to the uncertain i.m. injection of diazepam. Meticulous nursing is important.


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