Effect of Lidocaine, Magnesium Sulfate and Ketamine on the Pain of Propofol Intravenous Injection in Patients Undergoing Surgery: A Clinical Trial Study
|
Seyedeh Mahrokh Alinaghimaddah * 1, Payman Asghari2 , Amir Hosein Mohammad Shafiee3 , Fatemeh Mehravar4 , Mohammad Aryaie5 |
1- Assistant Professor of Anesthesiology, Department of Anesthesiology and Critical Care, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran. , mitramaddah2000@yahoo.com 2- Anesthesiologist, Imam Sajad Hospital, Mazandaran University of Medical Sciences, Ramsar, Iran. 3- Medical Student, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran. 4- Ph.D Candidate in Epidemiology, School of Public Health. Tehran University of Medical Sciences, Tehran, Iran. 5- Assistant Professor of Epidemiology, Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran. |
|
Abstract: (3822 Views) |
Background and Objective: Propofol is one of the most commonly used drugs in anesthesia with the pain during an injection is a side effect of this drug. This study was conducted to compare the effect of Lidocaine, Magnesium Sulfate, and Ketamine on reducing pain caused by intravenous injection of Propofol in patients Undergoing surgery.
Methods: In this double-blind randomized clinical trial study, 80 patients aged 18 to 65 years were randomly blocked and assigned into four groups including Lidocaine, Ketamine, Magnesium Sulfate and Normal Saline. The pain was measured with the Ambesh Score. Hemodynamic changes of patients were evaluated in 1, 3, and 5 minutes.
Results: The patients in Lidocaine, Ketamine, and Magnesium Sulfate groups with 75%, 70%, and 55%, respectively, did not feel pain after Propofol injection compared to Normal Saline group (25%) (P<0.05). The mean time trend of Systolic and diastolic blood pressure and mean arterial blood pressure between the studied groups were significant (P<0.05).
Conclusion: The use of Lidocaine or Ketamine during Propofol injection can be effective in reducing pain during injection in patients undergo surgery. |
|
Keywords: Propofol [MeSH], Lidocaine [MeSH], Magnesium Sulfate [MeSH], Ketamine [MeSH], Pain [MeSH], General Anesthesia [MeSH] Article ID: Vol24-03 |
|
Full-Text [PDF 590 kb]
(11387 Downloads)
|
Type of Study: Original Articles |
Subject:
Anesthesiology and Pain
|
|
|
|
|
References |
1. Jalota L, Kalira V, George E, Shi YY, Hornuss C, Radke O, et al. Prevention of pain on injection of propofol: systematic review and meta-analysis. BMJ. 2011 Mar; 342: d1110. DOI: 10.1136/bmj.d1110 [ DOI] [ PubMed] 2. Picard P, Tramèr MR. Prevention of pain on injection with propofol: a quantitative systematic review. Anesth Analg. 2000 Apr; 90(4): 963-69. DOI: 10.1097/00000539-200004000-00035 [ DOI] [ PubMed] 3. Tian S, Zhang D, Zhou W, Tan C, Shan Q, Ma R, et al. Median Effective Dose of Lidocaine for the Prevention of Pain Caused by the Injection of Propofol Formulated with Medium- and Long-Chain Triglycerides Based on Lean Body Weight. Pain Med. 2021 Jun; 22(6): 1246-52. DOI: 10.1093/pm/pnaa316 [ DOI] [ PubMed] 4. Marik PE. Propofol: therapeutic indications and side-effects. Curr Pharm Des. 2004; 10(29): 3639-49. DOI: 10.2174/1381612043382846 [ DOI] [ PubMed] 5. Enlund M, Enlund A, Berglund A, Bergkvist L. Rationale and Design of the CAN Study: an RCT of Survival after Propofol- or Sevoflurane-based Anesthesia for Cancer Surgery. Curr Pharm Des. 2019; 25(28): 3028-33. DOI: 10.2174/1381612825666190705184218 [ DOI] [ PubMed] 6. Sahinovic MM, Struys MMRF, Absalom AR. Clinical Pharmacokinetics and Pharmacodynamics of Propofol. Clin Pharmacokinet. 2018 Dec; 57(12): 1539-58. DOI: 10.1007/s40262-018-0672-3 [ DOI] [ PubMed] 7. Lai HC, Lee MS, Liu YT, Lin KT, Hung KC, Chen JY, et al. Propofol-based intravenous anesthesia is associated with better survival than desflurane anesthesia in pancreatic cancer surgery. PLoS One. 2020 May; 15(5): e0233598. DOI: 10.1371/journal.pone.0233598 [ DOI] [ PubMed] 8. Araújo AM, Machado H, de Pinho PG, Soares-da-Silva P, Falcão A. Population Pharmacokinetic-Pharmacodynamic Modeling for Propofol Anesthesia Guided by the Bispectral Index (BIS). J Clin Pharmacol. 2019 Dec. DOI: 10.1002/jcph.1560 [ DOI] [ PubMed] 9. Zhou D, Wang L, Cui Q, Iftikhar R, Xia Y, Xu P. Repositioning Lidocaine as an Anticancer Drug: The Role Beyond Anesthesia. Front Cell Dev Biol. 2020 Jul; 8: 565. DOI: 10.3389/fcell.2020.00565 [ DOI] [ PubMed] 10. Leung LS, Chu L, Prado MAM, Prado VF. Forebrain Acetylcholine Modulates Isoflurane and Ketamine Anesthesia in Adult Mice. Anesthesiology. 2021 Apr; 134(4): 588-606. DOI: 10.1097/ALN.0000000000003713 [ DOI] [ PubMed] 11. Beiranvand S, Karimi A, Haghighat Shoar M, Baghizadeh Baghdashti M. The Effects of Magnesium Sulfate with Lidocaine for Infraclavicular Brachial Plexus Block for Upper Extremity Surgeries. J Brachial Plex Peripher Nerve Inj. 2020 Nov; 15(1): e33-e39. DOI: 10.1055/s-0040-1715578 [ DOI] [ PubMed] 12. Salman AE, Salman MA, Saricaoglu F, Akinci SB, Aypar Ü. Pain on injection of propofol: a comparison of methylene blue and lidocaine. J Clin Anesth. 2011 Jun; 23(4): 270-74. DOI: 10.1016/j.jclinane.2010.09.008 [ DOI] [ PubMed] 13. Sajedi P, Yaraghi A, Bigi AA, Rezaie M, Mehrabi Kooshki A. [Comparative Evaluation of Vital Signs Stability, Sedation and Analgesia Scores with Two Methods of Sedation: Propofol+Fentanyl and Ketamine+Fentanyl during Perm Cath Insertion]. Res Med. 2010; 34(1): 13-19. [Article in Persian] [ View at Publisher] 14. Huang W, Huang J, Wang D, Hu Y, Wang J, Lin H. Effect of nalbuphine on rocuronium injection pain. World Jnl Ped Surgery. 2021; 4(3): e000249. DOI: 10.1136/wjps-2020-000249 [ View at Publisher] [ DOI] 15. Memiş D, Turan A, Karamanlioğlu B, Süt N, Pamukçu Z. The use of magnesium sulfate to prevent pain on injection of propofol. Anesth Analg. 2002 Sep; 95(3): 606-8. DOI: 10.1097/00000539-200209000-00020 [ DOI] [ PubMed] 16. Safavi M, Honarmand A. [Magnesium Sulfate Pretreatment to Alleviate Pain on Propofol Injection: A Comparison with Ketamine or Lidocaine]. J Mazandaran Univ Med Sci. 2007; 17(60): 30-38. [Article in Persian] [ View at Publisher] 17. Shoaybi G, Soltanimohammadi S, Rajabi M. [The effect of Magnesium sulfate on reducing Propofol injection pain in elective surgeries]. Tehran Univ Med J. 2008; 65(2): 30-34. [Article in Persian] [ View at Publisher] 18. Chen RJ, Hu CT, Yuan LY, Liu GJ. [Clinical research of intravenous pretreatment with magnesium sulfate for inhibiting propofol-induced pain]. Journal of Bengbu Medical College. 2012; 36(1): 29-32. [Article in Chinese] [ View at Publisher] 19. Agarwal A, Dhiraj S, Raza M, Pandey R, Pandey CK, Singh PK, et al. Vein pretreatment with magnesium sulfate to prevent pain on injection of propofol is not justified. Can J Anaesth. 2004 Feb; 51(2): 130-33. DOI: 10.1007/BF03018771 [ DOI] [ PubMed] 20. Zahedi H, Nikooseresht M, Seifrabie M. Prevention of propofol injection pain with small-dose ketamine. Middle East J Anaesthesiol. 2009 Oct; 20(3): 401-4. [ PubMed] 21. Koo SW, Cho SJ, Kim YK, Ham KD, Hwang JH. Small-dose ketamine reduces the pain of propofol injection. Anesth Analg. 2006 Dec; 103(6): 1444-47. DOI: 10.1213/01.ane.0000243334.83816.53 [ DOI] [ PubMed] 22. Hwang I, Noh JI, Kim SI, Kim MG, Park SY, Kim SH, et al. Prevention of pain with the injection of microemulsion propofol: a comparison of a combination of lidocaine and ketamine with lidocaine or ketamine alone. Korean J Anesthesiol. 2010 Oct; 59(4): 233-37. DOI: 10.4097/kjae.2010.59.4.233 [ DOI] [ PubMed]
|
|
Send email to the article author |
|
|
Alinaghimaddah S M, Asghari P, Mohammad Shafiee A H, Mehravar F, Aryaie M. Effect of Lidocaine, Magnesium Sulfate and Ketamine on the Pain of Propofol Intravenous Injection in Patients Undergoing Surgery: A Clinical Trial Study. J Gorgan Univ Med Sci 2022; 24 (1) :19-25 URL: http://goums.ac.ir/journal/article-1-4059-en.html
|