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[Pain on injection with propofol].

K Auerswald1, F Pfeiffer, K Behrends

  • 1Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Leipzig AöR. Karen.auerswald@medizin.uni-leipzig.de

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
|May 20, 2005
PubMed
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Pain from propofol injection during anesthesia can be reduced with combined methods. A tourniquet with lidocaine before propofol injection is a highly effective strategy for minimizing injection pain.

Area of Science:

  • Anesthesiology
  • Pharmacology

Context:

  • Injection pain with propofol is a common issue, particularly in pediatric anesthesia.
  • This discomfort can limit the use of propofol, a widely used anesthetic agent.

Purpose:

  • To review and evaluate various interventions aimed at minimizing injection pain associated with propofol administration.
  • To identify the most effective strategies for pain prevention during propofol induction.

Summary:

  • Combining preventive measures is more effective than single interventions for reducing propofol injection pain.
  • Lidocaine injection with a rubber tourniquet prior to propofol administration is a highly effective method.
  • Multimodal strategies, including opioids, ketamine, thiopental, and EMLA cream, offer additional benefits for pain and nausea prevention, especially in pediatric patients.

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Impact:

  • Provides evidence-based recommendations for optimizing patient comfort during anesthesia induction.
  • Facilitates the broader application of propofol by addressing a significant side effect.
  • Offers practical solutions for clinicians to improve the patient experience and anesthetic outcomes.