An evaluation of tests of psychomotor function in assessing recovery following a brief anaesthetic.
This study was designed to evaluate the usefulness of three commonly used tests of psychomotor function and one test of short-term memory in assessing recovery from a brief nitrous oxide, oxygen and halothane anaesthetic. Twenty-six female patients undergoing minor gynaecological surgery were allocated to one of three treatment groups depending on premedication (placebo, low dose and high dose). Immediate recovery was most rapid in the placebo group. Both the tests of simple reaction time and picture recall were able to differentiate between the post-anaesthetic recovery of the high-dose group and that of the other two groups. Neither component of the letter cancellation test showed a clear difference in recovery pattern. Tests of critical flicker fusion were too unreliable to be of use in clinical decision making. Our results suggest that tests of reaction time and memory were more sensitive than letter cancellation in assessing recovery.
Cashman
J N
JN
Department of Anaesthetics, United Medical School, Guy's Hospital, London, England.
Power
S J
SJ
D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures; D000762:Anesthesia Recovery Period; D000769:Anesthesia, Inhalation; D005069:Evaluation Studies as Topic; D005260:Female; D005425:Flicker Fusion; D006221:Halothane; D006801:Humans; D011939:Mental Recall; D008875:Middle Aged; D009609:Nitrous Oxide; D010919:Placebos; D011184:Postoperative Period; D011229:Preanesthetic Medication; D011581:Psychological Tests; D011597:Psychomotor Performance; D011897:Random Allocation; D011930:Reaction Time
D010919:Placebos; D009609:Nitrous Oxide; D006221:Halothane