Erschienen in:
01.12.2010 | Original Article
Local warming at injection site helps alleviate pain after rocuronium administration
verfasst von:
Charu Mahajan, Girija Prasad Rath, Parmod Kumar Bithal, Hemanshu Prabhakar, Rahul Yadav, Surya Kumar Dube
Erschienen in:
Journal of Anesthesia
|
Ausgabe 6/2010
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Abstract
Purpose
Various strategies have been proposed to reduce discomfort of pain after rocuronium injection. These studies have shown pretreatment of drugs such as fentanyl and lidocaine to be effective. In a prospective randomized study, we evaluated whether pretreatment with local warming at injection site using an air-warming device could effectively alleviate pain induced by rocuronium.
Methods
Ninety patients undergoing spinal surgeries were randomly divided into two groups: group C (control) and group T (treatment). Patients in group T were subjected to warming at 40°C for 1 min prior to injecting 1 ml (10 mg) of rocuronium at the site of venous access. Patients were then assessed for any discomfort and to quantify their discomfort on a 5-point scale.
Results
Age, sex, and weight were comparable between the two groups. Pain on rocuronium administration was reported by 88.9% patient in group C versus 66.7% in group T (p < 0.05). Severe pain was significantly less in group T (35.6% vs. 8.9%).
Conclusion
Application of warmth over the vascular access prior to rocuronium administration effectively reduces injection-related pain.