Comparing the Injection Pain of Propofol Emulsion 1% (MCT/LCT) and Propofol Emulsion 2% (Propofol Lipuro) in Combination with Lidocaine in Patients Undergoing Gynecologic Surgery with General Anesthesia

Background: Propofol causes a high incidence of pain during intravenous injection. The aim of this study was to compare incidence and severity of injection pain following the administration of two different formulations of Propofol with and without 10mg Lidocaine in female patients. Methods: One hun...

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Main Authors: Anahita Hirmanpour, Reihanak Talakoub, Mohammadreza Safavi, Azim Honarmand, Amir Shafa, Kamelia Emamdoost
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2017-06-01
Series:Archives of Anesthesia and Critical Care
Subjects:
Online Access:https://aacc.tums.ac.ir/index.php/aacc/article/view/119
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author Anahita Hirmanpour
Reihanak Talakoub
Mohammadreza Safavi
Azim Honarmand
Amir Shafa
Kamelia Emamdoost
author_facet Anahita Hirmanpour
Reihanak Talakoub
Mohammadreza Safavi
Azim Honarmand
Amir Shafa
Kamelia Emamdoost
author_sort Anahita Hirmanpour
collection DOAJ
description Background: Propofol causes a high incidence of pain during intravenous injection. The aim of this study was to compare incidence and severity of injection pain following the administration of two different formulations of Propofol with and without 10mg Lidocaine in female patients. Methods: One hundred ASA (American Society of Anesthesiologists) grade I and II patients, planned to undergo gynecologic surgery under general anesthesia, were included in four groups of 25 in a prospectively, randomized and double-blind study. Group A received Propofol 1%+10mg lidocaine (1cc of lidocaine1%), Group B received Propofol 1%+ 1cc preservative-free saline, Group C received Lipuropropofol +10mg lidocaine (1cc of lidocaine1%) and Group D received Lipuropropofol+1cc preservative-free saline. Injection pain was assessed using the McCrirrick and Hunter scale. Results: No differences were found in the mean age, weight and given dose of propofol administered between all groups (P>0.05). Comparison of groups revealed significant difference in pain scores between groups (mean pain scores, GroupA:2.84 ± 0.850 vs. GroupB:3.16 ± 0.800 vs. GroupC:1.8±0.866 vs. GroupD:2.12±0.833 points). Conclusion: The highest pain scores were found in the propofol1% without lidocaine use while lipuropropofol plus lidocaine had the lowest pain scores. We recommend premixing 10 mg of lidocaine to Lipuropropofolfor preventing or mitigation of propofol injection pain compared to Lipuropropofol alone or propofol1% with lidocaine.
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spelling doaj.art-4c50dd6a14624dbcb68548efb49b5ce02022-12-21T20:38:28ZengTehran University of Medical SciencesArchives of Anesthesia and Critical Care2423-58492017-06-0133Comparing the Injection Pain of Propofol Emulsion 1% (MCT/LCT) and Propofol Emulsion 2% (Propofol Lipuro) in Combination with Lidocaine in Patients Undergoing Gynecologic Surgery with General AnesthesiaAnahita Hirmanpour0Reihanak Talakoub1Mohammadreza Safavi2Azim Honarmand3Amir Shafa4Kamelia Emamdoost5Anesthesiology and Critical Care Research Center ,Isfahan University of Medical Sciences, Isfahan, Iran.Anesthesiology and Critical Care Research Center ,Isfahan University of Medical Sciences, Isfahan, Iran.Anesthesiology and Critical Care Research Center ,Isfahan University of Medical Sciences, Isfahan, Iran.Anesthesiology and Critical Care Research Center ,Isfahan University of Medical Sciences, Isfahan, Iran.Anesthesiology and Critical Care Research Center ,Isfahan University of Medical Sciences, Isfahan, Iran.Anesthesiology and Critical Care Research Center ,Isfahan University of Medical Sciences, Isfahan, Iran.Background: Propofol causes a high incidence of pain during intravenous injection. The aim of this study was to compare incidence and severity of injection pain following the administration of two different formulations of Propofol with and without 10mg Lidocaine in female patients. Methods: One hundred ASA (American Society of Anesthesiologists) grade I and II patients, planned to undergo gynecologic surgery under general anesthesia, were included in four groups of 25 in a prospectively, randomized and double-blind study. Group A received Propofol 1%+10mg lidocaine (1cc of lidocaine1%), Group B received Propofol 1%+ 1cc preservative-free saline, Group C received Lipuropropofol +10mg lidocaine (1cc of lidocaine1%) and Group D received Lipuropropofol+1cc preservative-free saline. Injection pain was assessed using the McCrirrick and Hunter scale. Results: No differences were found in the mean age, weight and given dose of propofol administered between all groups (P>0.05). Comparison of groups revealed significant difference in pain scores between groups (mean pain scores, GroupA:2.84 ± 0.850 vs. GroupB:3.16 ± 0.800 vs. GroupC:1.8±0.866 vs. GroupD:2.12±0.833 points). Conclusion: The highest pain scores were found in the propofol1% without lidocaine use while lipuropropofol plus lidocaine had the lowest pain scores. We recommend premixing 10 mg of lidocaine to Lipuropropofolfor preventing or mitigation of propofol injection pain compared to Lipuropropofol alone or propofol1% with lidocaine.https://aacc.tums.ac.ir/index.php/aacc/article/view/119propofollipuroinjection painlidocaine
spellingShingle Anahita Hirmanpour
Reihanak Talakoub
Mohammadreza Safavi
Azim Honarmand
Amir Shafa
Kamelia Emamdoost
Comparing the Injection Pain of Propofol Emulsion 1% (MCT/LCT) and Propofol Emulsion 2% (Propofol Lipuro) in Combination with Lidocaine in Patients Undergoing Gynecologic Surgery with General Anesthesia
Archives of Anesthesia and Critical Care
propofol
lipuro
injection pain
lidocaine
title Comparing the Injection Pain of Propofol Emulsion 1% (MCT/LCT) and Propofol Emulsion 2% (Propofol Lipuro) in Combination with Lidocaine in Patients Undergoing Gynecologic Surgery with General Anesthesia
title_full Comparing the Injection Pain of Propofol Emulsion 1% (MCT/LCT) and Propofol Emulsion 2% (Propofol Lipuro) in Combination with Lidocaine in Patients Undergoing Gynecologic Surgery with General Anesthesia
title_fullStr Comparing the Injection Pain of Propofol Emulsion 1% (MCT/LCT) and Propofol Emulsion 2% (Propofol Lipuro) in Combination with Lidocaine in Patients Undergoing Gynecologic Surgery with General Anesthesia
title_full_unstemmed Comparing the Injection Pain of Propofol Emulsion 1% (MCT/LCT) and Propofol Emulsion 2% (Propofol Lipuro) in Combination with Lidocaine in Patients Undergoing Gynecologic Surgery with General Anesthesia
title_short Comparing the Injection Pain of Propofol Emulsion 1% (MCT/LCT) and Propofol Emulsion 2% (Propofol Lipuro) in Combination with Lidocaine in Patients Undergoing Gynecologic Surgery with General Anesthesia
title_sort comparing the injection pain of propofol emulsion 1 mct lct and propofol emulsion 2 propofol lipuro in combination with lidocaine in patients undergoing gynecologic surgery with general anesthesia
topic propofol
lipuro
injection pain
lidocaine
url https://aacc.tums.ac.ir/index.php/aacc/article/view/119
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