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Updated: Jul 5, 2025

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
A nitrous oxide/oxygen fixed mixture to reduce pain induced by the hypodermic injection: study protocol for a
Jun-Jun Zhang1, Ping Yu1, Hui Dang2
1Department of Hematology and Oncology, International Cancer Center, Shenzhen Key Laboratory, Shenzhen University General Hospital, Shenzhen University Clinical Medical Academy, Shenzhen University Health Science Center, Xueyuan Avenue 1098, Shenzhen, 518000, China.
Nitrous oxide/oxygen inhalation effectively reduced procedural pain in patients with hematological malignancies receiving recombinant human granulocyte colony-stimulating factor injections. This safe and feasible analgesic option improved patient and nurse satisfaction during painful cancer treatments.
Area of Science:
- Oncology
- Pain Management
- Anesthesiology
Background:
- Procedural pain from recombinant human granulocyte colony-stimulating factor injections is common in hematological malignancy patients.
- Immediate pain relief remains a challenge in clinical settings.
- This study addresses pain management during these critical treatments.
Purpose of the Study:
- To evaluate the safety and analgesic efficacy of a fixed nitrous oxide/oxygen mixture.
- To assess pain reduction during recombinant human granulocyte colony-stimulating factor injections.
- To provide data on nitrous oxide/oxygen therapy for procedural pain in oncology.
Main Methods:
- A single-center, randomized, double-blind, placebo-controlled trial.
- 54 patients with hematological malignancies were randomized to nitrous oxide/oxygen or oxygen.
- Pain, anxiety, physiological parameters, and satisfaction were monitored post-injection.
Main Results:
- The nitrous oxide/oxygen group reported significantly lower pain scores.
- Reduced fear of pain and anxiety were observed in the treatment group.
- Improved patient and nurse satisfaction and acceptance were noted.
Conclusions:
- Fixed nitrous oxide/oxygen mixture is safe and effective for managing procedural pain.
- This therapy offers a feasible solution for pain relief in hematological malignancy patients.
- The findings support wider administration of nitrous oxide/oxygen for procedural pain in oncology departments.
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