Cisatracurium pretreatment with tourniquet reduces propofol injection pain: A double-blind randomized controlled trial

Objectives To investigate the efficacy of pretreatment with cisatracurium for prevention of pain associated with propofol injection, and compare its efficacy with that of lidocaine. Methods Patients undergoing general anaesthesia were randomized to receive normal saline (control group), lidocaine (0...

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Veröffentlicht in:Journal of international medical research 2014-04, Vol.42 (2), p.360-367
Hauptverfasser: Kim, Yun-Hee, Namgung, Jin, Lim, Choon-Hak
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Namgung, Jin
Lim, Choon-Hak
description Objectives To investigate the efficacy of pretreatment with cisatracurium for prevention of pain associated with propofol injection, and compare its efficacy with that of lidocaine. Methods Patients undergoing general anaesthesia were randomized to receive normal saline (control group), lidocaine (0.5 mg/kg), 0.03 mg/kg cisatracurium or 0.15 mg/kg cisatracurium. All drugs were administered into the largest dorsal vein of the hand with venous occlusion for 30 s, followed by propofol (0.5 mg/kg). Pain was evaluated using a four-point scale. Results The incidence and severity of pain was significantly lower in the lidocaine and 0.15 mg/kg cisatracurium groups than the control and 0.03 mg/kg cisatracurium groups (n = 50/group). There was no significant difference between the lidocaine and 0.15 mg/kg cisatracurium groups in the incidence and severity of pain. Conclusions 0.15 mg/kg cisatracurium effectively decreases the incidence and severity of pain induced by propofol injection without any significant complications.
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Methods Patients undergoing general anaesthesia were randomized to receive normal saline (control group), lidocaine (0.5 mg/kg), 0.03 mg/kg cisatracurium or 0.15 mg/kg cisatracurium. All drugs were administered into the largest dorsal vein of the hand with venous occlusion for 30 s, followed by propofol (0.5 mg/kg). Pain was evaluated using a four-point scale. Results The incidence and severity of pain was significantly lower in the lidocaine and 0.15 mg/kg cisatracurium groups than the control and 0.03 mg/kg cisatracurium groups (n = 50/group). There was no significant difference between the lidocaine and 0.15 mg/kg cisatracurium groups in the incidence and severity of pain. Conclusions 0.15 mg/kg cisatracurium effectively decreases the incidence and severity of pain induced by propofol injection without any significant complications.</description><identifier>ISSN: 0300-0605</identifier><identifier>EISSN: 1473-2300</identifier><identifier>DOI: 10.1177/0300060514522602</identifier><identifier>PMID: 24573971</identifier><identifier>CODEN: JIMRBV</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adolescent ; Adult ; Aged ; Anesthesia, General - adverse effects ; Anesthetics, Intravenous - administration &amp; dosage ; Anesthetics, Local - administration &amp; dosage ; Atracurium - analogs &amp; derivatives ; Atracurium - therapeutic use ; Biological and medical sciences ; Double-Blind Method ; Female ; Humans ; Lidocaine - therapeutic use ; Male ; Medical sciences ; Middle Aged ; Neuromuscular Blocking Agents - therapeutic use ; Pain - prevention &amp; control ; Pain Management ; Pain Measurement ; Pharmacology. Drug treatments ; Propofol - administration &amp; dosage ; Prospective Studies ; Tourniquets ; Young Adult</subject><ispartof>Journal of international medical research, 2014-04, Vol.42 (2), p.360-367</ispartof><rights>The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-a55d7e7bfe4fcb4a1d7fd1b78fdd7bba92884cbd29114d9207546a1862ed3c923</citedby><cites>FETCH-LOGICAL-c409t-a55d7e7bfe4fcb4a1d7fd1b78fdd7bba92884cbd29114d9207546a1862ed3c923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0300060514522602$$EPDF$$P50$$Gsage$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0300060514522602$$EHTML$$P50$$Gsage$$Hfree_for_read</linktohtml><link.rule.ids>314,778,782,862,21953,27840,27911,27912,44932,45320</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=28388413$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24573971$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Yun-Hee</creatorcontrib><creatorcontrib>Namgung, Jin</creatorcontrib><creatorcontrib>Lim, Choon-Hak</creatorcontrib><title>Cisatracurium pretreatment with tourniquet reduces propofol injection pain: A double-blind randomized controlled trial</title><title>Journal of international medical research</title><addtitle>J Int Med Res</addtitle><description>Objectives To investigate the efficacy of pretreatment with cisatracurium for prevention of pain associated with propofol injection, and compare its efficacy with that of lidocaine. Methods Patients undergoing general anaesthesia were randomized to receive normal saline (control group), lidocaine (0.5 mg/kg), 0.03 mg/kg cisatracurium or 0.15 mg/kg cisatracurium. All drugs were administered into the largest dorsal vein of the hand with venous occlusion for 30 s, followed by propofol (0.5 mg/kg). Pain was evaluated using a four-point scale. Results The incidence and severity of pain was significantly lower in the lidocaine and 0.15 mg/kg cisatracurium groups than the control and 0.03 mg/kg cisatracurium groups (n = 50/group). There was no significant difference between the lidocaine and 0.15 mg/kg cisatracurium groups in the incidence and severity of pain. Conclusions 0.15 mg/kg cisatracurium effectively decreases the incidence and severity of pain induced by propofol injection without any significant complications.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia, General - adverse effects</subject><subject>Anesthetics, Intravenous - administration &amp; dosage</subject><subject>Anesthetics, Local - administration &amp; dosage</subject><subject>Atracurium - analogs &amp; derivatives</subject><subject>Atracurium - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>Humans</subject><subject>Lidocaine - therapeutic use</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neuromuscular Blocking Agents - therapeutic use</subject><subject>Pain - prevention &amp; control</subject><subject>Pain Management</subject><subject>Pain Measurement</subject><subject>Pharmacology. Drug treatments</subject><subject>Propofol - administration &amp; dosage</subject><subject>Prospective Studies</subject><subject>Tourniquets</subject><subject>Young Adult</subject><issn>0300-0605</issn><issn>1473-2300</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>EIF</sourceid><recordid>eNp1kM1r2zAUwMVoabKs956GLoVdvEmybNm7hbB2g8Iu3dno43lVkKVUklvav74KyToo9KSH3u99_RC6oOQrpUJ8IzUhpCUN5Q1jLWEf0JJyUVes_J-g5T5d7fML9DGlLSGctQ07QwvGG1H3gi7Rw8YmmaPUc7TzhHcRcgSZJ_AZP9p8h3OYo7f3M2QcwcwaUoHCLozBYeu3oLMNHu-k9d_xGpswKweVctYbHKU3YbLPYLAOPsfgXAlztNJ9QqejdAnOj-8K_bn6cbv5Wd38vv61Wd9UmpM-V7JpjAChRuCjVlxSI0ZDlehGY4RSsmddx7UyrKeUm54R0fBW0q5lYGrds3qFvhz6lp3LDSkPk00anJMewpwG2pCeU9L2pKDkgOoYUoowDrtoJxmfBkqGve3hre1S8vnYfVYTmNeCf3oLcHkEZNLSjcWItuk_19Vlf1oXrjpwSf6FYbtXXqy8P_gFYyuWwg</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>Kim, Yun-Hee</creator><creator>Namgung, Jin</creator><creator>Lim, Choon-Hak</creator><general>SAGE Publications</general><general>Sage Publications</general><scope>AFRWT</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140401</creationdate><title>Cisatracurium pretreatment with tourniquet reduces propofol injection pain: A double-blind randomized controlled trial</title><author>Kim, Yun-Hee ; Namgung, Jin ; Lim, Choon-Hak</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-a55d7e7bfe4fcb4a1d7fd1b78fdd7bba92884cbd29114d9207546a1862ed3c923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia, General - adverse effects</topic><topic>Anesthetics, Intravenous - administration &amp; dosage</topic><topic>Anesthetics, Local - administration &amp; dosage</topic><topic>Atracurium - analogs &amp; derivatives</topic><topic>Atracurium - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Double-Blind Method</topic><topic>Female</topic><topic>Humans</topic><topic>Lidocaine - therapeutic use</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neuromuscular Blocking Agents - therapeutic use</topic><topic>Pain - prevention &amp; control</topic><topic>Pain Management</topic><topic>Pain Measurement</topic><topic>Pharmacology. Drug treatments</topic><topic>Propofol - administration &amp; dosage</topic><topic>Prospective Studies</topic><topic>Tourniquets</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Yun-Hee</creatorcontrib><creatorcontrib>Namgung, Jin</creatorcontrib><creatorcontrib>Lim, Choon-Hak</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of international medical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Yun-Hee</au><au>Namgung, Jin</au><au>Lim, Choon-Hak</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cisatracurium pretreatment with tourniquet reduces propofol injection pain: A double-blind randomized controlled trial</atitle><jtitle>Journal of international medical research</jtitle><addtitle>J Int Med Res</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>42</volume><issue>2</issue><spage>360</spage><epage>367</epage><pages>360-367</pages><issn>0300-0605</issn><eissn>1473-2300</eissn><coden>JIMRBV</coden><abstract>Objectives To investigate the efficacy of pretreatment with cisatracurium for prevention of pain associated with propofol injection, and compare its efficacy with that of lidocaine. Methods Patients undergoing general anaesthesia were randomized to receive normal saline (control group), lidocaine (0.5 mg/kg), 0.03 mg/kg cisatracurium or 0.15 mg/kg cisatracurium. All drugs were administered into the largest dorsal vein of the hand with venous occlusion for 30 s, followed by propofol (0.5 mg/kg). Pain was evaluated using a four-point scale. Results The incidence and severity of pain was significantly lower in the lidocaine and 0.15 mg/kg cisatracurium groups than the control and 0.03 mg/kg cisatracurium groups (n = 50/group). There was no significant difference between the lidocaine and 0.15 mg/kg cisatracurium groups in the incidence and severity of pain. Conclusions 0.15 mg/kg cisatracurium effectively decreases the incidence and severity of pain induced by propofol injection without any significant complications.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>24573971</pmid><doi>10.1177/0300060514522602</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Anesthesia, General - adverse effects
Anesthetics, Intravenous - administration & dosage
Anesthetics, Local - administration & dosage
Atracurium - analogs & derivatives
Atracurium - therapeutic use
Biological and medical sciences
Double-Blind Method
Female
Humans
Lidocaine - therapeutic use
Male
Medical sciences
Middle Aged
Neuromuscular Blocking Agents - therapeutic use
Pain - prevention & control
Pain Management
Pain Measurement
Pharmacology. Drug treatments
Propofol - administration & dosage
Prospective Studies
Tourniquets
Young Adult
title Cisatracurium pretreatment with tourniquet reduces propofol injection pain: A double-blind randomized controlled trial
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