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
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 19 yr by measuring serum concentrations. The mean dose was 0.27±0.09mg kg1. The mean serum concentration was 98.5±53.5 ng ml1 4min after administration and 206.7±105.8ng ml1 at 11 min. The correlation between dose and scrum concentration was statistically significant at both times. With a dose of 0.40.5 mg kg1 an adequate serum concentration was achieved within 56 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.