Single pretreatment of remifentanil may reduce pain after propofol and rocuronium injection in rapid sequence induction / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 413-418, 2012.
Article
Dans Anglais
| WPRIM
| ID: wpr-227542
ABSTRACT
BACKGROUND:
We designed this double-blind, placebo-controlled study to compare the efficacy of remifentanil in reducing the pain of both propofol and rocuronium injection during rapid-sequence induction.METHODS:
Ninety-five patients, scheduled for elective surgery under general anesthesia, were divided into 3 groups saline (Group S, n = 31), remifentanil 1 microg/kg (Group R, n = 32), and lidocaine 1.5 mg/kg (Group L, n = 32) were administered after tourniquet application. The occlusion was released after 1 min and 5 ml of 1% propofol was injected over 10 s. Pain on propofol injection was evaluated by a 10-point verbal numeric rating scale (VNRS). The rest of the induction dose of propofol and 1 mg/kg of rocuronium, were injected. Pain on rocuronium injection was evaluated by a four-point score (FPS).RESULTS:
The VNRS of propofol injection was as follows R (0.78) = L (1.34) < S (4.26). The incidence of withdrawal response due to rocuronium was as follows R (6.3%) < L (53.1%) < S (83.9%). The FPS of rocuronium injection was as follows R (0.81) < L (1.78) < S (2.93).CONCLUSIONS:
Pretreatment with a bolus of remifentanil was effective in simultaneously reducing injection pain of propofol and rocuronium. In addition, remifentanil pretreatment was more effective in suppression of withdrawal response by rocuronium than lidocaine.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Pipéridines
/
Garrots
/
Propofol
/
Incidence
/
Androstanols
/
Anesthésie générale
/
Lidocaïne
Type d'étude:
Essai clinique contrôlé
/
Etude d'incidence
/
Étude pronostique
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Korean Journal of Anesthesiology
Année:
2012
Type:
Article
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