PREVENTION OF PROPOFOL INJECTION PAIN – COMPARISON BETWEEN DEXMEDETOMIDINE VS KETAMINE INFUSION

Author:

V Dinesh1,B Parmar Siddharthkumar2,Thacker Pinak3

Affiliation:

1. Senior Resident Doctor , Department of Anaesthesiology, B.J. Medical College, Ahmedabad

2. Associate Professor HG ,Department of Anaesthesiology, B.J. Medical College, Ahmedabad

3. 3rd Year Resident , Department of Anaesthesiology, B.J. Medical College, Ahmedabad

Abstract

ntravenous injection of propofol causes pain at the site of injection, the incidence varying from less than 10 % in the antecubital fossa to 90 % on the back of the hand. Pain is often reported as severe or even intolerable.108 patients divided into 2 groups , Group D received Inj.Dexmedetomidine 0.5mcg/kg iv and Group K received Inj.Ketamine 0.5mg/kg IV in 10 ml Normal saline as premedication.Immediately after infusion, inj. Propofol 2.5mg/kg iv injected over 25 seconds.Patients will be assessed for pain every 5 seconds till patient become unconscious by Propofol.We concluded that intravenous infusion of Ketamine 0.5 mg /kg before Propofol injection more effective in alleviating the incidence of Propofol Injection Pain(PIP) and severity (mild pain only) when compared to Dexmedetomidine 0.5 µg/kg without any statistically signicant side effects

Publisher

World Wide Journals

Subject

History,Immunology,Immunology and Allergy,Pulmonary and Respiratory Medicine,Public Health, Environmental and Occupational Health,Health Policy,Law,Sociology and Political Science,Literature and Literary Theory,Linguistics and Language,Language and Linguistics,General Engineering,Literature and Literary Theory,Linguistics and Language,Language and Linguistics,Literature and Literary Theory,History,Cultural Studies,Political Science and International Relations

Reference11 articles.

1. McCrirrick A, Hunter S. Pain on injection of propofol: The effect of injected temperature. Anaesthesia 1990; 45:443-4

2. Sarkilar G, karaI, Duman a, Okesli S. Effect of dexmedetomidine on pain caused by injection of propofol. Nobel Med 2012; 8:83-8

3. Barbi E, Marchetti F, Gerarduzzi T et al. Pretreatment with intravenous ketamine reduces propofol injection pain. Paediatr Anaesth. 2003 Nov; 13(9): 764-8.

4. Tan CH, Onsiong MK, Kua SW. The effect of ketamine pretreatment on propofol injection pain in 100 women. Anaesthesia 1998; 53:302-5.

5. Deepa Ravindra shriyan, Bharkarmuralidharpatil, Evaluation of low dose ketamine pretreatment to reduce propofol injection pain. International journal of journal of anatomy, radiology and surgery 2016 DOI;10.7860/IJARS/2016/9523:2136

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