A combination of lidocaine (lignocaine) and remifentanil reduces pain during propofol injection

Kyunghwa Kwak, Hoyun Chung, Choon Hak Lim, Changgyu Han, Gwangwook Choi, Donggun Lim, Sioh Kim, Younghoon Jeon

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5 Citations (Scopus)

Abstract

Objective: Pain on injection is a well known adverse effect of propofol. The purpose of this study was to compare the analgesic effect of a lidocaine (lignocaine)/remifentanil combination compared with either lidocaine alone or remifentanil alone during propofol injection for induction of anaesthesia. Methods: In a randomised, double-blind, prospective trial, 129 patients were allocated to one of three groups (each n = 43) receiving lidocaine 20mg, remifentanil 0.3 μg/kg or lidocaine 20mg plus remifentanil 0.3 μg/kg as pretreatment, followed by injection of 5mL of 1% propofol. Pain severity was evaluated on a four-point scale. Results: Two patients (4.7%) complained of pain in the lidocaine plus remifentanil group compared with 15 (35.7%) in the lidocaine alone group and 18 (42.9%) in the remifentanil alone group (p < 0.001). There was no significant difference in the incidence of injection pain between the lidocaine alone and remifentanil alone groups (p = 0.21). Conclusion: Pretreatment with a combination of lidocaine and remifentanil is more effective than either pretreatment alone in reducing pain on injection of propofol.

Original languageEnglish
Pages (from-to)493-497
Number of pages5
JournalClinical Drug Investigation
Volume27
Issue number7
DOIs
Publication statusPublished - 2007 Jun 20

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ASJC Scopus subject areas

  • Pharmacology (medical)

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