Intraarterial analgesia in peripheral arteriography

Area of Science:

• Radiology
• Anesthesiology
• Pharmacology

Background:

• Peripheral arteriography can cause severe burning pain.
• Effective pain management is crucial for patient comfort and procedural success.

Purpose of the Study:

• To evaluate the efficacy of combining 1% lidocaine with methylglucamine iothalamate for pain relief during peripheral arteriography.
• To assess the safety of this combined approach.

Main Methods:

• A pilot study involving 36 patients was conducted.
• Patients received either lidocaine with contrast medium or contrast medium alone, with varying premedications (meperidine/promethazine or diazepam).
• Pain was assessed using subjective and objective criteria.

Main Results:

• Patients receiving lidocaine with the contrast medium reported significantly less pain.
• The combination of lidocaine and analgesic premedication yielded optimal pain relief.
• No adverse reactions related to lidocaine were observed.

Conclusions:

• Combining 1% lidocaine with methylglucamine iothalamate is an effective and safe method for reducing pain during peripheral arteriography.
• Analgesic premedication enhances the pain-relieving effects of lidocaine in this context.