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Propofol causes injection pain is still a common clinical unsolved problem. Mixing a small amount of lidocaine with propofol or injecting lidocaine in advance can reduce the pain caused by propofol injection. Using an air warmer to warm the arm can also reduce the pain caused by propofol injection. Investors suspect that treatment with a warming patch (covering the injection site) can also reduce the pain caused by propofol injection.
This is a single-center randomized controlled clinical study. Purpose of this study is to explore whether the coverage of the warming patch (for 5min before injection) can reduce the pain induced by propofol injection.
The patients included in the study were randomly divided into two groups. The group W used a warming patch to cover the injection site, and the group C used a cotton pad to cover the injection site. After 5 minutes of coverage, the propofol injection was induced, and the patient's complaint of pain (calling or arm withdrawal) during propofol injection was observed, and the patient's recall of the pain score during induction after the patient recovered. After the patients regained consciousness, the data of the two groups were compared to determine whether the use of the warming patch could reduce the pain caused by propofol injection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Warm patch | Experimental | the injection site was covered with warm patch. |
|
| Cotton patch | Placebo Comparator | the injection site was covered with cotton patch. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Warming patch | Device | The warming patch can increase the temp of injection site, result in a blood vessels to dilate, which may have some contribute to decreasing injection pain. |
| Measure | Description | Time Frame |
|---|---|---|
| Arm withdrawn | When propofol was injected, the arm was withdrawn due to injection pain. | 5min |
| Complaints of pain | The patient complained about the pain of the propofol injection | 5min |
| Pain score after awakening from propofol | Let the patients give a score when they recoved from propofol induced anesthesia. | 10min |
| Measure | Description | Time Frame |
|---|---|---|
| Respiratory depression | those ases when pulse oxygen saturation is less than 90% | 5min |
| Temperature of injection site after injecting of propofol. | Get the temperature of the back of the hand with an infrared thermometer |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zhiming Zhang | Chenzhou | Hunan | 423000 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27372434 | Background | Jeong M, Yoon H. Comparison of the effects of lidocaine pre-administration and local warming of the intravenous access site on propofol injection pain: Randomized, double-blind controlled trial. Int J Nurs Stud. 2016 Sep;61:209-18. doi: 10.1016/j.ijnurstu.2016.06.012. Epub 2016 Jun 24. | |
| 26888026 | Background |
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180 days
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| ID | Term |
|---|---|
| D013001 | Somatoform Disorders |
| D000072736 | Propofol Infusion Syndrome |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D064420 | Drug-Related Side Effects and Adverse Reactions |
| D064419 | Chemically-Induced Disorders |
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Group W : the injection site was covered with warm patch. Group C: the injection site was covered with Cotton patch.
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The assessor did not know the grouping of the pain scores in memory, nor did he know the purpose of the warming patch.
| Cotton patch | Device | The Cotton patch will cover the injection site as placebo. It dose not have the function of heating comparing to Warming patch. |
|
| 10min |
| Euasobhon P, Dej-Arkom S, Siriussawakul A, Muangman S, Sriraj W, Pattanittum P, Lumbiganon P. Lidocaine for reducing propofol-induced pain on induction of anaesthesia in adults. Cochrane Database Syst Rev. 2016 Feb 18;2(2):CD007874. doi: 10.1002/14651858.CD007874.pub2. |
| 28296748 | Background | Lang BC, Yang CS, Zhang LL, Zhang WS, Fu YZ. Efficacy of lidocaine on preventing incidence and severity of pain associated with propofol using in pediatric patients: A PRISMA-compliant meta-analysis of randomized controlled trials. Medicine (Baltimore). 2017 Mar;96(11):e6320. doi: 10.1097/MD.0000000000006320. |