Anesthetic drugs & techniques

Effect of midazolam co-administered with oxycodone on ventilation: a randomised clinical trial in healthy volunteers

Br J AnaesthPublished Randomised controlled trial

Primary resultResult — go to the resultMean difference −1.7 L min-1 95% one-sided CI -∞ to 1.6

Authors' conclusion

Midazolam co-administered with oxycodone did not decrease hypercapnic ventilation, compared with oxycodone alone, but did affect tidal volume, ventilatory frequency, and resting end-tidal Pco2.

Study context

Population
Healthy participantscrossover
Participants
20 participants
Comparison
IV midazolam plus oral oxycodone vs oxycodone alone
Primary endpoint
Minute ventilation at an end-tidal Pco2 of 7.3 kPa (modified Read rebreathing)
Methodological detailsdouble-blind, four-period crossover
  • Double-blind
  • Four-period crossover

Primary result

As reported in the abstract

Mean difference

−1.7 L min-1

95% one-sided CI -∞ to 1.6

P = 0.21

By group

Midazolam plus oxycodone vs Oxycodone alone
mean difference −1.7 L min-1 (95% one-sided CI -∞ to 1.6); P = 0.21

Further findings

OutcomeMidazolam plus oxycodoneOxycodone aloneMean difference (kPa) (95% CI)
Resting end-tidal Pco25.8 kPa5.6 kPa0.2 (0.0–0.4)

Fell asleep or snored

  • Fell asleep or snored: of 15 participants

Original publication

Effect of midazolam co-administered with oxycodone on ventilation: a randomised clinical trial in healthy volunteers. Br J Anaesth. Published 21 February 2025. doi:10.1016/j.bja.2024.11.047

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