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Fentanyl and midazolam is a combination of a synthetic opioid analgesic and a benzodiazepine sedative. In the clinical study conducted by Maisonneuve-Rosemont Hospital, this combination was evaluated as a low-dose intravenous premedication to facilitate the induction of general anesthesia using sevoflurane. Fentanyl acts as a potent agonist at the mu-opioid receptor, providing analgesia and suppressing airway reflexes, while midazolam functions as a positive allosteric modulator of the GABA-A receptor, inducing sedation and reducing preoperative anxiety. The combination is intended to shorten the time to loss of consciousness and improve the clinical conditions for the insertion of airway devices like the ProSeal laryngeal mask airway during minor elective surgeries.
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