Comparison of the preventive effects of pretreatment of lidocaine with a tourniquet and a premixed injection of lidocaine on propofol-LCT/MCT injection pain
BackgroundLidocaine has been used widely to prevent propofol injection pain. Various methods of administration exist, such as lidocaine premixed with propofol or lidocaine pretreatment using a tourniquet, but it is unclear which method of lidocaine administration is more effective for the prevention...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2014-02-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-66-95.pdf |
| _version_ | 1828834497162903552 |
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| author | Hyo Jin Byon Kil Woo Lee Hee Yong Shim Jang Ho Song Jong Kwon Jung Young Deog Cha Doo Ik Lee |
| author_facet | Hyo Jin Byon Kil Woo Lee Hee Yong Shim Jang Ho Song Jong Kwon Jung Young Deog Cha Doo Ik Lee |
| author_sort | Hyo Jin Byon |
| collection | DOAJ |
| description | BackgroundLidocaine has been used widely to prevent propofol injection pain. Various methods of administration exist, such as lidocaine premixed with propofol or lidocaine pretreatment using a tourniquet, but it is unclear which method of lidocaine administration is more effective for the prevention of injection pain of propofol LCT/MCT. The purpose of this study was to compare pretreatment of lidocaine with a tourniquet and a premixed injection of lidocaine to prevent injection pain of propofol-LCT/MCT.MethodsPatients were randomly allocated into the pretreatment group (n = 117) or the premixed group (n = 117). The pretreatment group was pretreated with 2 ml of lidocaine 2%, held with a tourniquet, before propofol-LCT/MCT injection. The premixed group was injected with a premixed solution of propofol-LCT/MCT and 2 ml of lidocaine 2%. To evaluate the incidence and severity of pain, spontaneous verbal expressions of pain, movement of hand, frowning, and moaning were recorded, and the patients were asked to recall their pain with the visual analogue score (VAS) 30 minutes after awakening from anesthesia.ResultsOverall, injection pain occurred in 13.7% of the pretreatment group and 15.4% of the premixed group, without any statistical difference (P = 0.71). There was no difference in spontaneous verbal expressions of pain, movement of hand, frowning, and moaning between the two groups. The pain intensity (VAS) also showed no difference between the two groups (P = 0.49).ConclusionsPretreatment of lidocaine with a tourniquet showed no more benefit to prevent injection pain of propofol LCT/MCT compared to a premixed injection with lidocaine. |
| first_indexed | 2024-12-12T17:40:48Z |
| format | Article |
| id | doaj.art-36333ad3399b432381128c1b831c726b |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-12T17:40:48Z |
| publishDate | 2014-02-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-36333ad3399b432381128c1b831c726b2022-12-22T00:17:04ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632014-02-01662959810.4097/kjae.2014.66.2.957897Comparison of the preventive effects of pretreatment of lidocaine with a tourniquet and a premixed injection of lidocaine on propofol-LCT/MCT injection painHyo Jin Byon0Kil Woo Lee1Hee Yong Shim2Jang Ho Song3Jong Kwon Jung4Young Deog Cha5Doo Ik Lee6Department of Anesthesiology and Pain Medicine, Inha University College of Medicine, Incheon, Korea.Department of Anesthesiology and Pain Medicine, Inha University College of Medicine, Incheon, Korea.Department of Anesthesiology and Pain Medicine, Inha University College of Medicine, Incheon, Korea.Department of Anesthesiology and Pain Medicine, Inha University College of Medicine, Incheon, Korea.Department of Anesthesiology and Pain Medicine, Inha University College of Medicine, Incheon, Korea.Department of Anesthesiology and Pain Medicine, Inha University College of Medicine, Incheon, Korea.Department of Anesthesiology and Pain Medicine, Inha University College of Medicine, Incheon, Korea.BackgroundLidocaine has been used widely to prevent propofol injection pain. Various methods of administration exist, such as lidocaine premixed with propofol or lidocaine pretreatment using a tourniquet, but it is unclear which method of lidocaine administration is more effective for the prevention of injection pain of propofol LCT/MCT. The purpose of this study was to compare pretreatment of lidocaine with a tourniquet and a premixed injection of lidocaine to prevent injection pain of propofol-LCT/MCT.MethodsPatients were randomly allocated into the pretreatment group (n = 117) or the premixed group (n = 117). The pretreatment group was pretreated with 2 ml of lidocaine 2%, held with a tourniquet, before propofol-LCT/MCT injection. The premixed group was injected with a premixed solution of propofol-LCT/MCT and 2 ml of lidocaine 2%. To evaluate the incidence and severity of pain, spontaneous verbal expressions of pain, movement of hand, frowning, and moaning were recorded, and the patients were asked to recall their pain with the visual analogue score (VAS) 30 minutes after awakening from anesthesia.ResultsOverall, injection pain occurred in 13.7% of the pretreatment group and 15.4% of the premixed group, without any statistical difference (P = 0.71). There was no difference in spontaneous verbal expressions of pain, movement of hand, frowning, and moaning between the two groups. The pain intensity (VAS) also showed no difference between the two groups (P = 0.49).ConclusionsPretreatment of lidocaine with a tourniquet showed no more benefit to prevent injection pain of propofol LCT/MCT compared to a premixed injection with lidocaine.http://ekja.org/upload/pdf/kjae-66-95.pdfemulsionsinjectionslidocainepainpropofoltourniquets |
| spellingShingle | Hyo Jin Byon Kil Woo Lee Hee Yong Shim Jang Ho Song Jong Kwon Jung Young Deog Cha Doo Ik Lee Comparison of the preventive effects of pretreatment of lidocaine with a tourniquet and a premixed injection of lidocaine on propofol-LCT/MCT injection pain Korean Journal of Anesthesiology emulsions injections lidocaine pain propofol tourniquets |
| title | Comparison of the preventive effects of pretreatment of lidocaine with a tourniquet and a premixed injection of lidocaine on propofol-LCT/MCT injection pain |
| title_full | Comparison of the preventive effects of pretreatment of lidocaine with a tourniquet and a premixed injection of lidocaine on propofol-LCT/MCT injection pain |
| title_fullStr | Comparison of the preventive effects of pretreatment of lidocaine with a tourniquet and a premixed injection of lidocaine on propofol-LCT/MCT injection pain |
| title_full_unstemmed | Comparison of the preventive effects of pretreatment of lidocaine with a tourniquet and a premixed injection of lidocaine on propofol-LCT/MCT injection pain |
| title_short | Comparison of the preventive effects of pretreatment of lidocaine with a tourniquet and a premixed injection of lidocaine on propofol-LCT/MCT injection pain |
| title_sort | comparison of the preventive effects of pretreatment of lidocaine with a tourniquet and a premixed injection of lidocaine on propofol lct mct injection pain |
| topic | emulsions injections lidocaine pain propofol tourniquets |
| url | http://ekja.org/upload/pdf/kjae-66-95.pdf |
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