Venous occlusion with lidocaine for preventing propofol induced pain. A prospective double-blind randomized study
Saudi Medical Journal. 2006; 27 (7): 997-1000
em Inglês
| IMEMR
| ID: emr-80850
ABSTRACT
Pain is a well-known complication of intravenous administration of propofol, and to find out the optimal method to decrease this pain, we studied 4 methods of delivering propofol. The study took place at Jordan University Hospital, Amman, Jordan between November 2004 and March 2005 on 200 patients. The patients were divided into 4 groups, group I [n=50], the control group, propofol 1% was given alone. Group II [n=50], patients received propofol 1% premixed with 40 mg of lidocaine. Group III [n=50], patients received propofol 1% 60 seconds after giving 40 mg of lidocaine. Group IV [n=50], patients had venous occlusion for 60 seconds with the use of lidocaine 1% [40 mg], followed by release of the occlusion and administration of the propofol. Pain was assessed during injection and categorized into no pain, pain, and pain with behavioral changes. In group I [control], 35 patient complained of pain, compared to 26 in group II, 23 in group III, and 7 patients in group IV, with a significant reduction in the incidence and intensity of pain in group II, III, and IV compared with the control [p<0.005]. The best reduction of intensity and incidence was achieved in group VI, when compared with groups I, II and III [p<0.005], with no statistical difference between group II and III when compared with each other. Of the 4 methods studied, the optimal method to decrease the incidence and intensity of pain resulting from propofol injection is to inject lidocaine while applying venous occlusion for 60 seconds prior to administering propofol
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Dor
/
Propofol
/
Método Duplo-Cego
/
Injeções Intravenosas
/
Lidocaína
Tipo de estudo:
Ensaio Clínico Controlado
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Saudi Med. J.
Ano de publicação:
2006
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