Comparison of the effects of lidocaine pre-administration and local warming of the intravenous access site on propofol injection pain: Randomized, double-blind controlled trial
DC Field | Value | Language |
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dc.contributor.author | Jeong, Meejeong | - |
dc.contributor.author | Yoon, Haesang | - |
dc.date.available | 2020-02-28T00:44:32Z | - |
dc.date.created | 2020-02-07 | - |
dc.date.issued | 2016-09 | - |
dc.identifier.issn | 0020-7489 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/7945 | - |
dc.description.abstract | Background: Lidocaine reduces pain that occurs upon the intravenous injection of propofol. But, there are few non-pharmacological nursing interventions to reduce propofol injection pain. Objective: To compare the effects of lidocaine pre-administration and local warming of the intravenous access site on propofol injection pain. Design: Prospective, double-blind, randomized controlled trial. Setting: The 555 bed, non-teaching National Cancer Center in Kyunggido, South Korea. Participants: A total of 96 patients who underwent thyroidectomy under total intravenous general anesthesia with propofol were randomly allocated to the control, lidocaine pre administration (LA) or local warming (LW) group. Methods: All three groups received 2% propofol with an effect-site target at 3 pg/mL for induction dose. The control group received 2% propofol with no intervention. The lidocaine pre-administration group received 2% propofol 30 s after 1% lidocaine 30 mg. The local warming group received 2% propofol after warming of the intravenous access site for 1 min using 43 degrees C forced air. Propofol injection pain was assessed by four-point verbal categorial scoring (VCS), numerical rating scale (NRS) and surgical pleth index (SPI). Results: Pain VCS of the LA group (mean SD, 1.11 +/- 0.45) was significantly reduced (U=-3.92, p < .001) compared to the control group (mean SD, 1.71 +/- 0.74). Pain VCS of the LW group (mean SD, 0.76 +/- 0.44) was significantly reduced (U =-5.17, p < .001) compared to the control group (mean SD, 1.71 +/- 0.74). Pain VCS of the LW group was significantly reduced compared to the LA group (U=-3.33, p =.001]. Pain NRS of the LA group (mean SD, 431 +/- 2.32) was significantly reduced (mean difference, 1.82; 95% CI, 0.63-3.00; p =.003) compared to the control group (mean SD, 6.13 +/- 2.39). Pain NRS of the LW group (mean SD, 3.06 +/- 2.37) was significantly reduced (mean difference, 3.07; 95% CI, 1.63-4.51; p <.009) compared to the control group. There were significant differences in pain NRS between the LA group and the LW group (mean difference, 1.25; 95% CI, 0.09-2.42; p =.035). SPI of the LA group (mean SD, 64.1 +/- 16.3) was significantly reduced (mean difference control versus LA, 836; 95% CI, 1.64-15.1; p =.016) compared to the control group (mean SD, 72.5 9.56). SPI of the LW group (mean SD, 55.0 +/- 16.2) was significantly reduced (mean difference control versus LW, 17.4; 95% CI, 10.8-24.0; p <.001) compared to the control group. There was a significant difference in SPI between the LA group and LW group (mean difference, 9.06; 95% CI, 1.02-17.1; p =.028). Conclusion: Local warming of the intravenous access site by 43 degrees C forced air for 1 min is slightly more effective in reducing propofol injection pain compared to lidocaine pre administration. (C) 2016 Elsevier Ltd. All rights reserved. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | PERGAMON-ELSEVIER SCIENCE LTD | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL OF NURSING STUDIES | - |
dc.subject | SURGICAL PLETH INDEX | - |
dc.subject | FORMULATIONS | - |
dc.subject | ANESTHESIA | - |
dc.subject | PREVENTION | - |
dc.subject | INDUCTION | - |
dc.subject | STRESS | - |
dc.title | Comparison of the effects of lidocaine pre-administration and local warming of the intravenous access site on propofol injection pain: Randomized, double-blind controlled trial | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000381839400020 | - |
dc.identifier.doi | 10.1016/j.ijnurstu.2016.06.012 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL OF NURSING STUDIES, v.61, pp.209 - 218 | - |
dc.identifier.scopusid | 2-s2.0-84977073915 | - |
dc.citation.endPage | 218 | - |
dc.citation.startPage | 209 | - |
dc.citation.title | INTERNATIONAL JOURNAL OF NURSING STUDIES | - |
dc.citation.volume | 61 | - |
dc.contributor.affiliatedAuthor | Yoon, Haesang | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | Lidocaine | - |
dc.subject.keywordAuthor | Local hyperthermia | - |
dc.subject.keywordAuthor | Noticeptive pain | - |
dc.subject.keywordAuthor | Pain management | - |
dc.subject.keywordAuthor | Propofol | - |
dc.subject.keywordPlus | SURGICAL PLETH INDEX | - |
dc.subject.keywordPlus | FORMULATIONS | - |
dc.subject.keywordPlus | ANESTHESIA | - |
dc.subject.keywordPlus | PREVENTION | - |
dc.subject.keywordPlus | INDUCTION | - |
dc.subject.keywordPlus | STRESS | - |
dc.relation.journalResearchArea | Nursing | - |
dc.relation.journalWebOfScienceCategory | Nursing | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | ssci | - |
dc.description.journalRegisteredClass | scopus | - |
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