Pain reduction on injection of microemulsion propofol via combination of remifentanil and lidocaine
BackgroundMicroemulsion propofol produces more frequent and severe pain upon injection than lipid emulsion propofol. This study examined the analgesic effect of lidocaine-premixed microemulsion propofol in patients pretreated with remifentanil. The induction of anesthesia with this combination was c...
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Korean Society of Anesthesiologists
2010-05-01
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Series: | Korean Journal of Anesthesiology |
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Online Access: | http://ekja.org/upload/pdf/kjae-58-435.pdf |
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author | Yong Ku Han Cheol Won Jeong Hyung Gon Lee |
author_facet | Yong Ku Han Cheol Won Jeong Hyung Gon Lee |
author_sort | Yong Ku Han |
collection | DOAJ |
description | BackgroundMicroemulsion propofol produces more frequent and severe pain upon injection than lipid emulsion propofol. This study examined the analgesic effect of lidocaine-premixed microemulsion propofol in patients pretreated with remifentanil. The induction of anesthesia with this combination was compared with microemulsion propofol accompanied with either remifentanil or lidocaine.MethodsOne hundred twenty patients aged between 20-65 years old were allocated randomly into one of three groups (n = 40, in each). The patients in the remifentanil group received remifentanil 0.5 µg/kg IV for 30 seconds before a microemulsion propofol injection. The patients in the lidocaine group received propofol 2 mg/kg premixed with 40 mg lidocaine over a 60 second period. The patients in the combination group received both remifentanil and lidocaine.ResultsThere was a significantly lower incidence of microemulsion propofol injection pain (severity 2 or more) in the combination group (12.5%) than in the remifentanil and lidocaine groups (90% and 65%, respectively, P < 0.05). The incidence of moderate pain disappeared completely in the combination group (0%) compared to that in the remifentanil and lidocaine group (32.5% and 20%, respectively, P < 0.05). Severe pain did not appear in any of the three groups. There were no complications on the injection site in the lidocaine alone and combination groups.ConclusionsThe combination of microemulsion propofol premixed with lidocaine after a pretreatment with remifentanil was more effective in reducing the incidence of pain upon the injection of microemulsion propofol than either treatment alone. |
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issn | 2005-6419 2005-7563 |
language | English |
last_indexed | 2024-12-23T11:08:09Z |
publishDate | 2010-05-01 |
publisher | Korean Society of Anesthesiologists |
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series | Korean Journal of Anesthesiology |
spelling | doaj.art-842b670feb1a4ca59b2b021060f4d9242022-12-21T17:49:26ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632010-05-0158543543910.4097/kjae.2010.58.5.4356896Pain reduction on injection of microemulsion propofol via combination of remifentanil and lidocaineYong Ku Han0Cheol Won Jeong1Hyung Gon Lee2Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School, Gwangju, Korea.Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School, Gwangju, Korea.Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School, Gwangju, Korea.BackgroundMicroemulsion propofol produces more frequent and severe pain upon injection than lipid emulsion propofol. This study examined the analgesic effect of lidocaine-premixed microemulsion propofol in patients pretreated with remifentanil. The induction of anesthesia with this combination was compared with microemulsion propofol accompanied with either remifentanil or lidocaine.MethodsOne hundred twenty patients aged between 20-65 years old were allocated randomly into one of three groups (n = 40, in each). The patients in the remifentanil group received remifentanil 0.5 µg/kg IV for 30 seconds before a microemulsion propofol injection. The patients in the lidocaine group received propofol 2 mg/kg premixed with 40 mg lidocaine over a 60 second period. The patients in the combination group received both remifentanil and lidocaine.ResultsThere was a significantly lower incidence of microemulsion propofol injection pain (severity 2 or more) in the combination group (12.5%) than in the remifentanil and lidocaine groups (90% and 65%, respectively, P < 0.05). The incidence of moderate pain disappeared completely in the combination group (0%) compared to that in the remifentanil and lidocaine group (32.5% and 20%, respectively, P < 0.05). Severe pain did not appear in any of the three groups. There were no complications on the injection site in the lidocaine alone and combination groups.ConclusionsThe combination of microemulsion propofol premixed with lidocaine after a pretreatment with remifentanil was more effective in reducing the incidence of pain upon the injection of microemulsion propofol than either treatment alone.http://ekja.org/upload/pdf/kjae-58-435.pdfintravenous anestheticslidocainemicroemulsion propofolpainremifentanil |
spellingShingle | Yong Ku Han Cheol Won Jeong Hyung Gon Lee Pain reduction on injection of microemulsion propofol via combination of remifentanil and lidocaine Korean Journal of Anesthesiology intravenous anesthetics lidocaine microemulsion propofol pain remifentanil |
title | Pain reduction on injection of microemulsion propofol via combination of remifentanil and lidocaine |
title_full | Pain reduction on injection of microemulsion propofol via combination of remifentanil and lidocaine |
title_fullStr | Pain reduction on injection of microemulsion propofol via combination of remifentanil and lidocaine |
title_full_unstemmed | Pain reduction on injection of microemulsion propofol via combination of remifentanil and lidocaine |
title_short | Pain reduction on injection of microemulsion propofol via combination of remifentanil and lidocaine |
title_sort | pain reduction on injection of microemulsion propofol via combination of remifentanil and lidocaine |
topic | intravenous anesthetics lidocaine microemulsion propofol pain remifentanil |
url | http://ekja.org/upload/pdf/kjae-58-435.pdf |
work_keys_str_mv | AT yongkuhan painreductiononinjectionofmicroemulsionpropofolviacombinationofremifentanilandlidocaine AT cheolwonjeong painreductiononinjectionofmicroemulsionpropofolviacombinationofremifentanilandlidocaine AT hyunggonlee painreductiononinjectionofmicroemulsionpropofolviacombinationofremifentanilandlidocaine |