praemedikation with morhin

in the US, the most common premed is versed. for spinal anesthesia maybe a little fentanyl as well, but most of the time nothing but versed.

Dormicum is Versed, just the European and Asian name for it.

[quote=viperus]We use for praemedikation a combo with 0.3 mg/kg KG morhin with a parasympaticolytica scopolamin 0.2 mg per 70 KG Patient.

Both we apply per oraly 2 hours before surgery.
So we found the Patient relaxed and ready for the pain and stress of spinal anaesthesia.

The scopolamine provide a aditional amnesia and sedation of the Pat. Also it prevent the little ongoing tonus of the parasympatico-tonus introduced by the morhin. And the morhin is good to prevent pain during the spinal (with lokal anaest.(of course)) and surgery.

After the surgery we stay at this opioid to take the pain from the weaken spinal anaesth. So we have a long term opioid controlled by nurse.

What do you think ? - good way for smaller operations
do you use other combos of praemed ?
I think most of you work with Midazolam, Dormicum ?

So long
Viperus :wakeneo:[/QUO


The large majority of the cases at my hospital are same-day surgery cases so the patients check in two hours before surgery. We do not want the patients medicated until seen by anesthesia and nursing to insure that all paper work is in order before the patient is medicated. Spinal patients usually received Midazolam only, but I like to add Fentanyl because most of our older patients have other joint pains above the waist and its more comfortable for them to lie still with a small amount of Fentanyl. I think that Midalolam has a much better profile than scopolamine for sedation, but if you are using it without problems then there's no argument for change.